Ge Jian-Zhong, Wang Kai-Hong, Ge Zhao-Hui, Li Gang, Zhang Tao, Ma Jian
Department of Orthopaedics, the First People's Hospital of Yongquon Affiliated to Shanxi Medical University, Yangquan 045000, Shanxi, China.
Zhongguo Gu Shang. 2013 Jun;26(6):464-7.
To compare the differences between advanced percutaneous vertebroplasty and routine percutaneous vertebroplasty,and evaluate the clinical application of advanced percutaneous vertebroplasty in treating senile osteoporotic vertebral compression fracture.
From January 2010 to January 2011,28 patients with senile osteoporotic vertebral compression fracture were concealed random allocated to advanced percutaneous vertebroplasty and routine percutaneous vertebroplasty group according to whether using advanced percutaneous pedicle puncture. Of them,there were 5 males and 23 females with an average age of (70.50 +/- 9.33) years old (ranged, 53 to 85). Course of disease was from 2 to 28 days with an average of (7.62 +/- 4.52). The fracture involved 34 vertebral bodies (19 segments of thoracic vertebrae and 15 segments of lumbar vertebra), 3 day's antibiotics were applied to prevent infections. The opreation time, X-ray fluoroscopy times were compared, and pain relief effect were evaluated by VAS (visual analogue scales) score.
For operation time, there were significant meaning between routine group (49.00 +/- 7.74) min and advanced group (32.36 +/- 4.81) min (t = 6.828,P = 0.000 < 0.05); X-ray fluoroscopy times in advanced group (4.28 +/- 1.38) times was shorter than routine group (8.78 +/- 2.33) times, and had statistical significance (t = 6.222, P = 0.000 < 0.05); while there were no meaning in VAS scores between routine group (2.85 +/- 0.94) and advanced group (2.57 +/- 1.08) (t = 0.740, P = 0.456 > 0.05).
Compared with routine group, advanced group can shorten opreration time, reduce radiological hazard, further reduce image monitoring costs and surgical risk, and benefit from the application of advanced percutaneous vertebroplasty in treating senile osteoporotic vertebral compression fracture. Furthmore, it can provide reference to vertebral body biopsy and minimally invasive of pedicle screw fixation.
比较改良经皮椎体成形术与常规经皮椎体成形术的差异，评价改良经皮椎体成形术治疗老年骨质疏松性椎体压缩骨折的临床应用价值。
选取2010年1月至2011年1月收治的28例老年骨质疏松性椎体压缩骨折患者，根据是否采用改良经椎弓根穿刺将其随机分为改良经皮椎体成形术组和常规经皮椎体成形术组。其中男5例，女23例，平均年龄（70.50±9.33）岁（53～85岁）。病程2～28天，平均（7.62±4.52）天。骨折累及34个椎体（胸椎19节段，腰椎15节段），均应用3天抗生素预防感染。比较两组手术时间、X线透视次数，并采用视觉模拟评分法（VAS）评估疼痛缓解效果。
手术时间方面，常规组（49.00±7.74）min与改良组（32.36±4.81）min比较差异有统计学意义（t=6.828，P=0.000＜0.05）；改良组X线透视次数（4.28±1.38）次少于常规组（8.78±2.33）次，差异有统计学意义（t=6.222，P=0.000＜0.05）；VAS评分常规组（2.85±0.94）与改良组（2.57±1.08）比较差异无统计学意义（t=0.740，P=0.456＞0.05）。
与常规组比较，改良组可缩短手术时间，减少放射危害，进一步降低影像监测费用及手术风险，改良经皮椎体成形术治疗老年骨质疏松性椎体压缩骨折具有优势。此外，可为椎体活检及椎弓根螺钉微创固定提供参考。
