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目的:探讨球囊扩张椎体后凸成形术治疗老年胸腰椎骨质疏松性骨折的疗效。方法:在C臂机引导下,采用微创器械及特制球囊,对36例老年胸腰椎骨质疏松性骨折患者的44个椎体通过椎弓根或椎弓根外途径行经皮穿刺椎体球囊后凸成形术,观察患者术后疼痛缓解情况及压缩椎体高度恢复情况。结果:36例患者术后疼痛均得到有效控制,次日即可佩戴围腰下床行走,VAS评分由术前的平均8.8分下降为2.1分;复查X线片示椎体高度恢复基本满意,未发生严重骨水泥渗漏到椎管内现象出现。结论:球囊扩张椎体后凸成形术治疗老年骨质疏松性脊柱椎体压缩骨折是一种既有效又安全的治疗方法,可有效避免老年人长期卧床所带来的各种并发症。
Objective: To investigate the curative effect of balloon dilation kyphoplasty in the treatment of senile thoracolumbar osteoporotic fracture. Methods: Thirty-four vertebral bodies of 36 elderly patients with osteoporotic thoracolumbar fractures were treated with minimally invasive instrumentation and special balloon guided by C-arm. Percutaneous vertebral body Balloon kyphoplasty was performed to observe postoperative pain relief and recovery of compressed vertebral body height. Results: All the 36 patients were effectively controlled by postoperative pain, and the next day they were able to walk around the waist. The VAS score decreased from an average of 8.8 before surgery to 2.1 points. X-ray examination showed that the vertebral body height recovery was basically satisfactory, No serious bone cement leakage to the spinal canal occurs. CONCLUSION: Balloon kyphotic kyphoplasty is an effective and safe treatment for osteoporotic vertebral compression fractures in the elderly. It can effectively avoid the complications caused by long-term bed rest.