發(fā)布時間：2018-05-24 20:29

  本文選題：骨質(zhì)疏松 + 脊柱骨折��； 參考：《重慶醫(yī)學(xué)》2017年04期

【摘要】：目的骨質(zhì)疏松性椎體壓縮骨折經(jīng)椎體成形治療后新發(fā)骨折與脊柱矢狀位參數(shù)的關(guān)系。方法選擇2011年3月至2014年12月于該院脊柱外科行椎體成形術(shù)的胸腰椎骨質(zhì)疏松性椎體壓縮骨折患者80例,作為觀察組。椎體成形術(shù)后攝脊柱全長正側(cè)位X線片,記錄患者的矢狀位參數(shù):骨盆指數(shù)(PI)、骶骨斜坡(SS)、骨盆傾斜角(PT),胸椎后凸角(TK)、腰椎前凸角(LL)、C7矢狀位比值(C7/SFD),隨訪一年后,根據(jù)有無新發(fā)骨折分為兩組,比較兩組資料的指標(biāo)差異,并分析椎體再次骨折的危險因素。結(jié)果隨訪一年后,新發(fā)椎體骨折12例;兩組間性別、年齡、BMI、BMD、PI、TK、LL比較,差異均無統(tǒng)計(jì)學(xué)意義(P0.05),組間SS、PT、C7/SFD相比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);Logistic回歸模型進(jìn)行分析,SS、TK和C7/SFD是新發(fā)椎體骨折的危險因素。結(jié)論骨質(zhì)疏松性椎體壓縮骨折經(jīng)過椎體成形術(shù)治療后新發(fā)椎體壓縮骨折與脊柱矢狀位序列改變有關(guān)。
[Abstract]:Objective to study the relationship between the new fracture and the sagittal parameters of vertebral column after vertebroplasty treatment for osteoporotic vertebral compression fracture. Methods from March 2011 to December 2014, 80 patients with osteoporotic vertebral compression fracture of thoracolumbar vertebrae who underwent vertebroplasty in our hospital from March 2011 to December 2014 were selected as the observation group. After vertebroplasty, axial radiographs were taken to record the sagittal parameters of the patients: pelvic index (Pi), sacral Clivus (SSS), pelvic oblique angle (PTT), thoracic kyphoid angle (TKV), lumbar kyphosis (LLL) C 7 sagittal position ratio (C 7 / SFDD), and 1 year follow-up. According to the new fracture, we divided the two groups into two groups, and analyzed the risk factors of vertebral refracture. Results 12 cases of new vertebral body fracture were followed up for one year, there was no significant difference in sex, age and age between the two groups, there was no significant difference between the two groups (P 0.05), and there was no significant difference between the two groups in terms of SSPTT C7 / SFD. The difference was statistically significant (P 0.05) logistic regression model was used to analyze that TK and C7/SFD were the risk factors of new vertebral body fracture. Conclusion the new vertebral compression fracture after vertebroplasty is related to the sagittal sequence change of the vertebral column.
【作者單位】： 承德醫(yī)學(xué)院附屬醫(yī)院脊柱外科;
【分類號】：R687.3

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本文編號：1930442