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骨质疏松性椎体压缩骨折与单球囊经椎弓根椎体后凸成形术:研究结果与技术要点

Osteoporotic Vertebral Compression Fracture and Single Balloon Extrapedicular Kyphoplasty: Findings and Technical Considerations.

作者信息

Mishra Pankaj Kumar, Dwivedi Rishi, Dhillon Charanjit Singh

机构信息

Department of Orthopedics, Gandhi Medical College and Hamidia Hospital Bhopal M.P., India.

Department of Spine Center, MIOT International Chennai, India.

出版信息

Bull Emerg Trauma. 2020 Jan;8(1):34-40. doi: 10.29252/beat-080106.

DOI:10.29252/beat-080106
PMID:32201700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7071935/
Abstract

OBJECTIVE

To evaluate the functional and radiological outcome of balloon kyphoplasty and to endorse the unilateral single balloon extrapedicular kyphoplasty as practically more feasible and safer method in comparison to the conventional methods.

METHODS

Totally, 81 patients were presented to our center with osteoporotic vertebral compression fracture. Among these, 59 patients (61 vertebrae) were enrolled with stable wedge osteoporotic compression fracture. Pre-operatively percentage of vertebral height loss and kyphotic angle were calculated and single balloon extrapedicular kyphoplasty was performed in all cases.

RESULTS

Postoperatively, anterior vertebral height improved to 79.61% of normal subjects. In our study, the mean segmental kyphosis correction following balloon kyphoplasty was 14.27°. Overall incidence of cement leak in our study was 15.25%.

CONCLUSION

Although we encountered the few difficulties, but this technique holds the safety and feasibility measures. Furthermore, it is effective in restoring anterior vertebral height, alignment and angle of kyphosis.

摘要

目的

评估球囊后凸成形术的功能和影像学结果,并认可单侧单球囊经椎弓根外后凸成形术相较于传统方法在实际应用中更可行、更安全。

方法

共有81例骨质疏松性椎体压缩骨折患者前来我院就诊。其中,59例患者(61个椎体)因稳定的楔形骨质疏松性压缩骨折入选。术前计算椎体高度丢失百分比和后凸角,并对所有病例实施单球囊经椎弓根外后凸成形术。

结果

术后,椎体前缘高度改善至正常受试者的79.61%。在我们的研究中,球囊后凸成形术后节段性后凸畸形平均矫正角度为14.27°。我们研究中骨水泥渗漏的总体发生率为15.25%。

结论

尽管我们遇到了一些困难,但该技术具备安全性和可行性措施。此外,它在恢复椎体前缘高度、对线和后凸角度方面是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/d75cd644aef4/bet-8-034-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/3957a6236e95/bet-8-034-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/7b33d174d929/bet-8-034-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/6b559682c6c4/bet-8-034-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/a1f4369dbcb6/bet-8-034-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/d75cd644aef4/bet-8-034-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/3957a6236e95/bet-8-034-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/7b33d174d929/bet-8-034-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/6b559682c6c4/bet-8-034-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/a1f4369dbcb6/bet-8-034-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2a/7071935/d75cd644aef4/bet-8-034-g005.jpg

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