保留一侧球囊撑开的椎体后凸成形术治疗椎体压缩性骨折的临床及影像学研究
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摘要
<正>椎体压缩性骨折是中老年骨质疏松病人最常发生的骨折之一~([1])。骨折发生后,剧烈的疼痛严重限制了病人的日常活动,长期卧床后带来的心肺系统并发症往往比骨折本身更严重。经皮球囊扩张椎体后凸成形术(percutaneous kyphoplasty,PKP)目前应用于椎体压缩性骨折的治疗,其术后效果较好、安全性佳、伤椎高度恢复满意、并发症少~([2-4])。然而临床操作中发现,无论是单球囊技术还是双球囊技术,在向椎体内推注骨水泥时均需将球囊撤出,而撤除球囊时,会出现椎体前缘高度及后凸角丢失,影响球囊的复位效果~([5])。本研究通过对手术步骤进行改良,临时保留一侧球囊的支
引文
[1]Yang S,Liu Y,Yang H,et al.Risk factors and correlation of secondary adjacent vertebral compression fracture in per-195cutaneous kyphoplasty[J].Int J Surg,2016,36(Pt A):138-142.
[2]Kan SL,Yuan ZF,Chen LX,et al.Which is best for osteoporotic vertebral compression fractures:balloon kyphoplasty,percutaneous vertebroplasty or non-surgical treatment?Astudy protocol for a Bayesian network meta-analysis[J].BMJOpen,2017,7(1):e012937.
[3]Zhang H,Xu C,Zhang T,et al.Does percutaneous vertebroplasty or balloon kyphoplasty for osteoporotic vertebral compression fractures increase the incidence of new vertebral fractures?A Meta-analysis[J].Pain Physician,2017,20(1):E13-E28.
[4]Lin D,Hao J,Li L,et al.Effect of bone cement volume fraction on adjacent vertebral fractures after unilateral percutaneous kyphoplasty[J].Clin Spine Surg,2017,30(3):E270-E275.
[5]Wang Z,Wang G,Yang H.Comparison of unilateral versus bilateral balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures[J].J Clin Neurosci,2012,19(5):723-726.
[6]Liang L,Chen X,Jiang W,et al.Balloon kyphoplasty or percutaneous vertebroplasty for osteoporotic vertebral compression fracture?An updated systematic review and meta-analysis[J].Ann Saudi Med,2016,36(3):165-74.
[7]顾越,李威霖,贾根,等.单侧与双侧经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的疗效[J].国际骨科学杂志,2018,39(3):154-158.
[8]Lin J,Qian L,Jiang C,et al.Bone cement distribution is a potential predictor to the reconstructive effects of unilateral percutaneous kyphoplasty in OVCFs:a retrospective study[J].J Orthop Surg Res,2018,13(1):140.
[9]Zhan Y,Jiang J,Liao H,et al.Risk factors for cement leakage after vertebroplasty or kyphoplasty:A Meta-analysis of published evidence[J].World Neurosurg,2017,101:633-642.
[10]Zhou T,Lin H,Wang H,et al.Comparative study on the biomechanics between improved PVP and traditional PKP in the treatment of vertebral peripheral wall damage-type OVCF[J].Exp Ther Med,2017,14(1):575-580.
[11]Huang YS,Hao DJ,Hang F,et al.Comparison of percutaneous kyphoplasty and bone cement-augmented shortsegment pedicle screw fixation for management of kümmell disease[J].Med Sci Monit,2018,24:1072-1079.(:2018-08-02)
[2]Kan SL,Yuan ZF,Chen LX,et al.Which is best for osteoporotic vertebral compression fractures:balloon kyphoplasty,percutaneous vertebroplasty or non-surgical treatment?Astudy protocol for a Bayesian network meta-analysis[J].BMJOpen,2017,7(1):e012937.
[3]Zhang H,Xu C,Zhang T,et al.Does percutaneous vertebroplasty or balloon kyphoplasty for osteoporotic vertebral compression fractures increase the incidence of new vertebral fractures?A Meta-analysis[J].Pain Physician,2017,20(1):E13-E28.
[4]Lin D,Hao J,Li L,et al.Effect of bone cement volume fraction on adjacent vertebral fractures after unilateral percutaneous kyphoplasty[J].Clin Spine Surg,2017,30(3):E270-E275.
[5]Wang Z,Wang G,Yang H.Comparison of unilateral versus bilateral balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures[J].J Clin Neurosci,2012,19(5):723-726.
[6]Liang L,Chen X,Jiang W,et al.Balloon kyphoplasty or percutaneous vertebroplasty for osteoporotic vertebral compression fracture?An updated systematic review and meta-analysis[J].Ann Saudi Med,2016,36(3):165-74.
[7]顾越,李威霖,贾根,等.单侧与双侧经皮椎体后凸成形术治疗老年骨质疏松性椎体压缩骨折的疗效[J].国际骨科学杂志,2018,39(3):154-158.
[8]Lin J,Qian L,Jiang C,et al.Bone cement distribution is a potential predictor to the reconstructive effects of unilateral percutaneous kyphoplasty in OVCFs:a retrospective study[J].J Orthop Surg Res,2018,13(1):140.
[9]Zhan Y,Jiang J,Liao H,et al.Risk factors for cement leakage after vertebroplasty or kyphoplasty:A Meta-analysis of published evidence[J].World Neurosurg,2017,101:633-642.
[10]Zhou T,Lin H,Wang H,et al.Comparative study on the biomechanics between improved PVP and traditional PKP in the treatment of vertebral peripheral wall damage-type OVCF[J].Exp Ther Med,2017,14(1):575-580.
[11]Huang YS,Hao DJ,Hang F,et al.Comparison of percutaneous kyphoplasty and bone cement-augmented shortsegment pedicle screw fixation for management of kümmell disease[J].Med Sci Monit,2018,24:1072-1079.(:2018-08-02)