Han Bo, Pang Daming, Hai Yong, Yang Jincai, Fan Zhexuan, Gao Haifeng, Yin Peng
Department of Orthopedics, Affiliated Beijing Chaoyang Hospital of Capital Medical University, Beijing, China.
Front Neurol. 2023 Sep 6;14:1118891. doi: 10.3389/fneur.2023.1118891. eCollection 2023.
This study aimed to present a special case of treatment of a patient with multisegmental vertebral compression fracture, burst fracture, and sandwich vertebra and to review the literature on this condition. An 85 year-old female presented with severe low back pain but no radiating pain in the lower extremities. The patient was diagnosed with T12 and L5 vertebral compression fractures, fresh vertebral burst fractures in L2 and L3, and osteoporosis. The focus was on formulating a surgical treatment strategy. At the 12 month follow-up, no neurological deficits were observed, and the chosen surgical treatment approach yielded favorable clinical outcomes. A comprehensive literature review indicates that percutaneous kyphoplasty (PKP) can effectively alleviate pain and ensure safety in managing osteoporotic vertebral burst fractures. While complications remain a theoretical risk, they can be mitigated through meticulous assessment, careful surgical procedures, and appropriate preventive measures. PKP is an effective and safe treatment modality for osteoporotic vertebral burst fractures. Conservative management of sandwich vertebrae can yield positive clinical outcomes, but regular anti-osteoporosis treatment is necessary.
本研究旨在介绍一例多节段椎体压缩骨折、爆裂骨折及夹椎患者的特殊治疗情况，并对该病症的相关文献进行综述。一名85岁女性因严重腰痛就诊，但下肢无放射痛。该患者被诊断为T12和L5椎体压缩骨折、L2和L3新鲜椎体爆裂骨折以及骨质疏松症。重点在于制定手术治疗策略。在12个月的随访中，未观察到神经功能缺损，所选择的手术治疗方法取得了良好的临床效果。全面的文献综述表明，经皮椎体后凸成形术（PKP）在治疗骨质疏松性椎体爆裂骨折时可有效缓解疼痛并确保安全。虽然并发症仍是一种理论上的风险，但可通过细致评估、谨慎的手术操作及适当的预防措施加以减轻。PKP是治疗骨质疏松性椎体爆裂骨折的一种有效且安全的治疗方式。夹椎的保守治疗可取得积极的临床效果，但定期进行抗骨质疏松治疗是必要的。
