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胸腰椎多发性骨质疏松性骨折的手术治疗:病例报告

Surgical Treatment of Multiple Osteoporotic Fractures of the Dorsolumbar Spine: Case Report.

作者信息

Marques Ricardo Ramalho, Moura Diogo Lino, Lourenço Paulo

机构信息

Serviço de Ortopedia e Traumatologia, Centro Hospitalar e Universitário de Coimbra, Portugal.

出版信息

Rev Bras Ortop (Sao Paulo). 2021 Apr;56(2):258-262. doi: 10.1055/s-0040-1721844. Epub 2021 Mar 22.

Abstract

Osteoporotic vertebral fractures are a common type of fracture and affect a significant number of subjects with osteoporosis. Despite the high fracture risk, the concomitant occurrence of vertebral fractures at non-contiguous levels is very rare. We report the case of a patient with three burst dorsolumbar spine fractures at non-contiguous levels who was treated with percutaneous kyphoplasty and transpedicular posterior fixation. Six months after the surgery, the patient walks autonomously and without pain; in addition, there is no radiological evidence of fracture reduction loss.

摘要

骨质疏松性椎体骨折是一种常见的骨折类型,影响着大量骨质疏松患者。尽管骨折风险很高,但非相邻节段同时发生椎体骨折的情况非常罕见。我们报告一例非相邻节段三处胸腰椎爆裂骨折患者,采用经皮椎体后凸成形术和经椎弓根后路固定治疗。术后6个月,患者可自主行走且无疼痛;此外,影像学检查未发现骨折复位丢失的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2b/8075642/d408865d6978/10-1055-s-0040-1721844-i2000169en-1.jpg

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