50例采用手术（椎体后凸成形术）或非手术方法治疗的椎体压缩性骨折的比较。
Comparison of 50 vertebral compression fractures treated with surgical (kyphoplasty) or non surgical approach.
作者信息
Giannotti Stefano, Carmassi Fabio, Bottai Vanna, Dell'osso Giacomo, Gazzarri Francesco, Guido Giulio
机构信息
Orthopaedic Clinic, University of Pisa, Pisa, Italy.
出版信息
Clin Cases Miner Bone Metab. 2012 Sep;9(3):184-6. Epub 2012 Dec 20.
The presence of a vertebral fracture increases the risk of a new fracture within a year by at least five times and the risk further increases in case of recurrent fractures (domino effect).The pain and fracture kyphosis can compromise respiratory function. Many patients sustain serious cardiovascular, musculoskeletal, metabolic, and immune complications related to immobility and bedrest. This study is a clinical and radiological assessment of a consecutive cohort of 50 patients with vertebral fractures. We made comparison of 25 vertebral compression fractures treated with surgical (kyphoplasty) or non surgical approach.Systematic reviews of this procedure have shown significantly improved back pain and quality of life compared to conservative therapy. When performed by a well-trained practitioner in appropriately selected patients, kyphoplasty is a safe and effective treatment for fresh vertebral compression fractures.
椎体骨折的存在会使一年内发生新骨折的风险增加至少五倍，而复发性骨折（多米诺效应）时风险会进一步增加。疼痛和骨折后凸畸形会损害呼吸功能。许多患者会出现与活动减少和卧床休息相关的严重心血管、肌肉骨骼、代谢及免疫并发症。本研究是对连续50例椎体骨折患者进行的临床和放射学评估。我们比较了25例接受手术（椎体后凸成形术）或非手术治疗的椎体压缩骨折。对该手术的系统评价表明，与保守治疗相比，背痛和生活质量有显著改善。当由训练有素的从业者对适当选择的患者进行手术时，椎体后凸成形术是治疗新鲜椎体压缩骨折的一种安全有效的方法。
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