首页|老年性骨质疏松性椎体压缩性骨折的精准骨水泥注入及分布临床研究

老年性骨质疏松性椎体压缩性骨折的精准骨水泥注入及分布临床研究

Clinical study of precise bone cement injection and distribution in senile osteoporotic vertebral compression fractures

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目的 对老年性骨质疏松性椎体压缩性骨折患者采取精准骨水泥注入治疗方案,观察分析临床疗效及分布情况.方法选取本院2020年7月~2022年7月收治的胸12椎体正常(无骨折情况)、上部、中部、下部骨折的老年性骨质疏松性椎体压缩性骨折(OVCFs)患者各1例,对其采取精准骨水泥注入(不同剂量,依次为2 mL、4 mL与6 mL)经皮穿刺椎体后凸成形(PKP)进行治疗,研究观察其临床疗效以及骨水泥分布情况.结果 三种骨折类型患者在治疗前后VAS评分以及临床相关指标组间差异无统计学意义(P > 0.05),各骨折类型经过治疗后VAS评分均呈下降趋势,并且组内差异有统计学意义(P < 0.05);治疗后相关临床指标组内差异有统计学意义(P < 0.05).结论 OVCFs在治疗时,对其不同骨折处的骨水泥注入量存在不同,对其胸腰段三维有限元模型以及力学加载,对发病位置使用对应的骨水泥(剂量存在差异)进行治疗,可改善患者临床疼痛感,加快其Cobb角以及椎体高度的恢复速度.
Objective To observe and analyze the clinical efficacy and distribution of senile patients with osteoporotic vertebral compression fracture with precise bone cement injection. Methods A total of 12 patients with senile osteoporotic vertebral compression fracture (OVCFs) with normal thoracic vertebrae (no fracture), upper, middle and lower vertebrae fractures admitted to our hospital from July 2020 to July 2022 were selected. Each patient was injected with precise bone cement (different doses, Percutaneous kyphoplasty (PKP) was performed in 2 mL, 4 mL and 6 mL, respectively. The clinical efficacy and the distribution of bone cement were studied. Results There was no significant difference in VAS scores and clinically related indexes among the three fracture types before and after treatment (P>0.05). VAS scores of all fracture types after treatment showed a downward trend, and the differences within groups were statistically significant (P<0.05). After treatment, there were statistically significant differences in related clinical indicators among groups (P<0.05). Conclusion In the treatment of OVCFs, the amount of bone cement injected in different fracture sites is different. The three-dimensional finite element model and mechanical loading of the thoracolembar segment and the treatment of the corresponding bone cement (the dosage is different) can improve the clinical pain of patients and accelerate the recovery of Cobb Angle and vertebral height.

old ageosteoporosisvertebral compression fractureprecise bone cement injection

崔晓乐、Xiao Fei、周干溪、Guo Chun-rong、刘阳勇、Guo Cheng-shui

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阳山县人民医院骨科,广东 清远 513100

Department of Orthopedics, Yangshan People's Hospital, Qingyuan 513100, China

老年 骨质疏松 椎体压缩性骨折 精准骨水泥注入

清远市科技计划项目

2020B

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(3)
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