手法复位结合弯角经皮椎体成形术与单纯经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的效果比较

Abstract
Figure/Table
References (28)
Related Citation (2)

Download: PDF (562 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the clinical effects of manual reduction combined with percutaneous curved vertebroplasty (PCVP) and pure percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fractures (OVCF). Methods A total of 97 fresh single-segment OVCF patients admitted in the Department of Spinal Surgery, the First Hospital Yulin from January 2019 to January 2020 were selected. According to different treatment methods, they were divided into observation group and control group, 47 cases in observation group were treated with manual reduction combined with PCVP, and 50 cases in control group were treated with PKP alone. The operative time, intraoperative C-arm fluoroscopy times, treatment related costs, amount of bone cement, bone cement leakage rate, and distribution of bone cement in the vertebral body were recorded between the two groups. Preoperative and postoperative anterior edge height (AVH), cabbose Cobb angle, visual analog scale (VAS) score, and Oswestry dysfunction index (ODI) score were compared. Results The operation time, the number of C-arm fluoroscopy and the cost of treatment of the observation group were less than that of the control group, and the differences were statistically significant (P ＜ 0.05). The amount of bone cement in the observation group was greater than that in the control group, and the distribution of bone cement was better than that in the control group, the differences were statistically significant (P ＜ 0.05). There was no significant difference in the leakage rate of bone cement between the two groups (P ＞ 0.05). Compared before surgery, there were statistically significant differences in AVH, Cobb angle, VAS score and ODI score between the two groups after surgery (P ＜ 0.05); there were no significant differences in AVH, Cobb angle, VAS score and ODI score between the two groups before and after surgery (P ＞ 0.05). Conclusion Manipulation reduction combined with PCVP and PKP alone in the treatment of OVCF can reduce the injured vertebrae and improve the kyphosis, but compared with PKP, it can save the operation time, reduce the number of intraoperative C-arm fluoroscopy, and save the treatment cost.

Key words： Osteoporotic vertebral compression fracture Manual reduction Percutaneous curved vertebroplasty Percutaneous kyphoplasty

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Ning1 CAI Fei2 LI Changhong3 WANG Fei3

Cite this article:

ZHANG Ning1 CAI Fei2 LI Changhong3 WANG Fei3. Comparison of effects of manual reduction combined with percutaneous curved vertebroplasty and pure percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fractures[J]. 中国医药导报, 2021, 18(21): 79-83.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I21/79

[1] Ng JP，Cawley DT，Beecher SM，et al. The Reverse Thomas Position for Thoracolumbar Fracture Height Restoration： Relative Contribution of Patient Positioning in Percutaneous Balloon Kyphoplasty for Acute Vertebral Compressions [J]. Int J Spine Surg，2016，10：21.
[2] Cheng Y，Liu Y. Percutaneous curved vertebroplasty in the treatment of thoracolumbar osteoporotic vertebral compression fractures [J]. J Int Med Res，2019，47（6）：2424-2433.
[3] 于增军，孙永强，李增方，等.手法复位椎体成形术治疗老年严重椎体骨折的临床疗效及安全性分析[J].解放军医学院学报，2018，39（6）：511-514.
[4] 向珊珊，陈忠羡，雷洪俊，等.经皮椎体成形术后骨水泥椎间隙渗漏的临床疗效观察[J].中国医药科学，2019，9（8）：208-212.
[5] 吐尔洪江·阿布都热西提.经皮椎体成形术用于骨质疏松性脊柱压缩性骨折的临床治疗效果研究[J].当代医学，2020，26（28）：88-90.
[6] 中华医学会骨科学分会骨质疏松学组.骨质疏松性骨折诊疗指南[J].中华骨科杂志，2017，37（1）：1-10.
[7] 甘炜，唐宏亮，梁英业，等.自我推拿对腰椎间盘突出症患者痊愈后JOA及VAS评分的影响[J].中国医药导报，2020，17（33）：102-105，109.
[8] 方贤聪，程继伟，盛锡华.Oswestry功能障碍指数评定腰椎滑脱症患者的反应度和最小有意义变化研究[J].中国现代医生，2017，55（28）：16-20.
[9] Chu W，Tsuei YC，Liao PH，et al. Decompressed percutaneous vertebroplasty： a secured bone cement delivery procedure for vertebral augmentation in osteoporotic compression fractures [J]. Injury，2013，44（6）：813-818.
[10] Sun X，Wu Z，He D，et al. Bioactive injectable polymethylmethacrylate/silicate bioceramic hybrid cements for percutaneous vertebroplasty and kyphoplasty [J]. J Mech Behav Biomed Mater，2019，96：125-135.
[11] 朱迪，尚春风，刘宏建，等.弯角穿刺针椎体成形技术治疗胸、腰椎骨质疏松性椎体压缩骨折[J].中华骨科杂志，2019，39（12）：737-746.
[12] 李凡，程维，陈钱，等.弯角式椎体成形植入器在老年骨质疏松压缩性骨折中的应用研究[J].中国社区医师，2018， 34（3）：57-58.
[13] 张大鹏，强晓军，杨光.应用弯角装置单侧穿刺行PVP治疗骨质疏松性胸腰椎压缩骨折的疗效分析[J].中国脊柱脊髓杂志，2017，27（7）：599-604.
[14] 宋仁谦，郑怀亮，周英杰，等.平乐正骨手法复位结合高黏度骨水泥经皮椎体成形术治疗老年骨质疏松脊柱压缩骨折的疗效分析[J].中国中医急症，2018，27（8）：1348-1351.
[15] 王纪坤，曹南娟.手法复位结合经皮椎体成形术治疗骨质疏松性胸腰椎压缩骨折临床研究[J].中国中医药信息杂志，2016，23（10）：31-34.
[16] 柴卫芳，赵德伟.弯角PVP技术治疗骨质疏松性椎体压缩骨折的疗效观察[J].颈腰痛杂志，2018，39（3）：303-305.
[17] 贺宝荣，许正伟，郝定均，等.骨水泥在骨质疏松性骨折椎体内分布状态与生物力学性能的关系[J].中华骨科杂志，2012，32（8）：768-773.
[18] 刘长枫，宋文慧，刘昌文，等.经皮椎体成形术骨水泥分布评价及影响因素分析[J].中国脊柱脊髓杂志，2019， 29（11）：1001-1008.
[19] 谭海涛，孟志斌，黄涛，等.单侧与双侧PKP治疗骨质疏松性椎体压缩骨折的临床疗效比较[J].中国矫形外科杂志，2017，25（16）：1511-1514.
[20] 李洪珂，郝申申，董胜利，等.弯角经皮椎体成形术治疗骨质疏松性椎体压缩骨折的疗效分析[J].中国骨与关节损伤杂志，2020，35（3）：258-260.
[21] 林玉江，林茜，杨利民，等.弯角椎体成形术治疗胸腰椎骨质疏松性椎体压缩骨折的疗效分析[J].中国脊柱脊髓杂志，2017，27（5）：423-428.
[22] 赵刚，王许可，禚汉杰，等.仿真优化手法复位结合经皮椎体成形术与经皮椎体后凸成形术治疗骨质疏松性胸腰椎骨折的疗效比较[J].中华创伤杂志，2019，35（10）：888-895.
[23] 仇建军，纪斌，王明飞，等.牵引手法复位椎体成形术治疗骨质疏松性胸腰椎体压缩性骨折[J].国际骨科学杂志，2017，38（6）：389-392.
[24] 曹强，周煜虎，段明明，等.手法复位结合经皮椎体成形术与经皮椎体后凸成形术治疗骨质疏松性椎体压缩骨折的疗效比较分析[J].中国中西医结合外科杂志，2020， 26（1）：132-135.
[25] 杨磊，崔宏勋，饶耀剑，等.弯角穿刺椎体成形装置辅助下单侧穿刺经皮椎体成形术治疗骨质疏松性椎体压缩骨折[J].中医正骨，2020，32（1）：64-68.
[26] 刘涛，牛国旗，周功，等.经皮弯角椎体成形与经皮椎体成形治疗骨质疏松性椎体压缩骨折的比较[J].中国微创外科杂志，2020，20（5）：436-440.
[27] 肖伟平，邱全河，余艺萍，等.单侧弯角椎体成形术与传统椎体成形术治疗老年骨质疏松性椎体骨折的疗效比较[J].江西中医药大学学报，2019，31（6）：45-49.
[28] 牛强卫.手法复位联合经皮椎体成形术和中医骨折三期辨证用药治疗骨质疏松性胸腰椎压缩骨折的临床研究[J].中医正骨，2017，29（4）：16-22.