经皮椎体后凸成形术患者骨水泥相关并发症的预防与治疗
Prevention and treatment of bone cement-related complications in patients receiving percutaneous kyphoplasty.
作者信息
Zhang Kaining, Shen Yingchun, Ren Yanjun, Zou Debo
机构信息
Department of Spine Surgery, Shandong Provincial Qianfoshan Hospital Jinan 250014, P.R. China.
Department of Surgery, Juye County Beicheng Hospital Heze 274900, P. R. China.
出版信息
Int J Clin Exp Med. 2015 Feb 15;8(2):2371-7. eCollection 2015.
OBJECTIVE
This study is to investigate the complications and preventive measures of bone cement in percutaneous kyphoplasty for the treatment of osteoporotic vertebral compression fractures.
METHODS
A retrospective analysis of 134 cases of osteoporotic vertebral compression fracture patients treated with percutaneous kyphoplasty, which involved 182 vertebral fractures, was performed. The bone cement-related complications, the reasons causing these complications, and the preventive measures were investigated.
RESULTS
Successful operation was performed in all patients. Operative bone cement toxic reaction occurred in 1 patient. Different degrees of leakage of bone cement were found in 21 patients with 25 fractures and 1 case needed operation treatment. During the long term follow-up, bone necrosis absorption and cement drifted away which needed operation treatment was found in 1 patient with vertebral fracture. Thirteen adjacent vertebral fractures were found in 11 patients and 10 patients underwent operation treatment again.
CONCLUSIONS
With careful surgery, complications associated with bone cement could be greatly reduced.
目的
本研究旨在探讨经皮椎体后凸成形术中骨水泥治疗骨质疏松性椎体压缩骨折的并发症及预防措施。
方法
对134例接受经皮椎体后凸成形术治疗的骨质疏松性椎体压缩骨折患者进行回顾性分析，共涉及182处椎体骨折。调查与骨水泥相关的并发症、导致这些并发症的原因及预防措施。
结果
所有患者手术均成功。1例患者发生术中骨水泥毒性反应。21例患者25处骨折出现不同程度的骨水泥渗漏，1例需要手术治疗。长期随访期间，1例椎体骨折患者出现骨坏死吸收及骨水泥移位，需要手术治疗。11例患者出现13处相邻椎体骨折，10例患者再次接受手术治疗。
结论
通过仔细手术，可大幅减少与骨水泥相关的并发症。
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