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目的:探讨单侧球囊扩张椎体后凸成形术治疗骨质疏松性脊椎压缩骨折的临床疗效。方法:对2008-01/2009-02采用单侧球囊扩张椎体后凸成形术治疗骨质疏松性脊椎压缩骨折6例进行分析。结果:所有患者术后疼痛均明显减轻。JOA评分由术前18分升至术后26分,平均椎体高度前、中、后均有所恢复。平均注射骨水泥5.3 ml。均无骨水泥渗漏。所有患者均获得随访,随访时间2~15个月,平均10.3个月,无手术相关并发症。结论:单侧球囊扩张椎体后凸成形术治疗骨质疏松性脊椎压缩骨折可以有效缓解疼痛,恢复椎体高度,疗效满意。
Objective: To investigate the clinical efficacy of unilateral balloon dilation kyphoplasty in the treatment of osteoporotic vertebral compression fractures. Methods: Six cases of osteoporotic vertebral compression fractures were treated with unilateral balloon kyphoplasty during January 2008 to February 2009. Results: Postoperative pain was relieved in all patients. The JOA score increased from 18 points preoperatively to 26 points postoperatively, and the average vertebral body height recovered before, during and after surgery. The average injection of bone cement 5.3 ml. No bone cement leakage. All patients were followed up for 2 to 15 months with an average of 10.3 months without any operative complications. Conclusion: Unilateral balloon dilation kyphoplasty for the treatment of osteoporotic vertebral compression fractures can effectively relieve pain and restore vertebral height, the curative effect is satisfactory.