Duan-Mu Qun-Li, Mao Su, Qu Hang-bo
Department of Orthopaedics, Zhejiang Hospital, Hangzhou 310013, Zhejiang, China.
Zhongguo Gu Shang. 2013 Apr;26(4):302-4.
To investigate and analyses feasibility and therapeutic effect of pedicle of vertebral arch drilling in the treatment of old vertebrae compression fracture patients suffering back pain.
From May 2004 to December 2011, 19 patients with back pain caused of old vertebrae compression fracture were treated by vertebral body decompression with drilling. There were 13 males and 6 females with with an average age of 61 years old ranging from 44 to 78 years. The course of disease was 3 months to 8 years (means 2.5 years). Among them,6 cases were chest-back pain and 13 were lumbodorsal pain. The thoracic vertebrae fracture involved in 9 segments, lumbar vertebrae fracture involved in 18 segments, vertebral height lose <or= 1/3.
Nineteen patients were followed up from 6 months to 3 years. The symtoms were not recurrened. The VAS score was 5.7+/-0.3 preoperative and 2.3+/-0.2 postoperative. The pain relieved obviously in 4 patients and mainly in 5 patients at 24 hours after operation, and the pain relieved obviously in 10 patients and mainly in 9 patients at 48 hours after operation.
Vertebral drill decompression is an effective method for the treatment of old osteoporotic compression fractures with minimally invasive and low complication.
探讨和分析椎弓根钻孔术治疗老年椎体压缩性骨折致腰背痛患者的可行性及治疗效果。
2004年5月至2011年12月，对19例老年椎体压缩性骨折致腰背痛患者行椎体钻孔减压术治疗。其中男13例，女6例，平均年龄61岁（44～78岁）。病程3个月至8年（平均2.5年）。其中胸背部疼痛6例，腰背部疼痛13例。胸椎骨折9节段，腰椎骨折18节段，椎体高度丢失≤1/3。
19例患者随访6个月至3年，症状无复发。术前VAS评分为5.7±0.3，术后为2.3±0.2。术后24小时4例疼痛明显缓解，5例基本缓解；术后48小时10例疼痛明显缓解，9例基本缓解。
椎体钻孔减压术是治疗老年骨质疏松性压缩骨折的一种有效方法，具有微创、并发症少的优点。
