椎體內(nèi)裂隙及其位置對骨質(zhì)疏松椎體壓縮骨折療效影響
[Abstract]:[objective] to analyze the incidence of intravertebral fissure (intravertebral vacuum cleft,IVC) in osteoporotic vertebral compression fracture (osteoporotic vertebral compression fractures,OVCFs) and its location in injured vertebrae, and to compare the effect of IVC in different locations on the effect of OVCFs in the treatment of percutaneous vertebra compression fracture (IVC). [methods] A total of 52 patients with IVC in the thoracolumbar region (T _ (11) L _ L _ 1) were included in the retrospective study. The follow-up time was more than two years. According to the location of IVC in the injured vertebrae, all the patients were divided into three groups: the upper group and the lower group and the group of IVC reaching the upper and lower endplate. The radiologic and clinical parameters of the three groups were compared before and after operation (immediate, 1 year, 2 years after operation). [results] there was no significant difference in preoperative baseline values among the three groups. The vertebral height and kyphosis angle were corrected significantly in the three groups, but there was no significant difference in radiology and clinical parameters. During the 1- and 2-year follow-up period, the vertebral body height and kyphoid angle of the three groups were increased, especially in the lower group of IVC, followed by the upper group of IVC. There was no significant difference in reduction rate and reduction angle between the three groups (P0.05). The height and the loss rate of kyphosis in IVC group were significantly higher than those in the other two groups (P0.05). [conclusion] Percutaneous vertebra enhancement was initially effective in all IVC patients with OVCFs. However, severe vertebral recollapse and kyphosis are more likely to occur in the lower IVC group during late follow-up, so it is recommended to observe and follow up closely after the operation.
【作者單位】： 廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院脊柱骨科;廣州中醫(yī)藥大學(xué)第一臨床醫(yī)學(xué)院;
【基金】：廣東省衛(wèi)生廳醫(yī)學(xué)科研基金項目(編號:2014B2014175) 衛(wèi)生部醫(yī)藥衛(wèi)生科技發(fā)展研究中心資助課題(編號:W2014ZT256;W2012ZT0)
【分類號】：R580;R687.3
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