骨质疏松性脊柱骨折椎弓根螺钉内固定术中骨水泥渗漏的影响因素分析

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国家科技期刊平台
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中文摘要：目的:分析骨质疏松性脊柱骨折椎弓根螺钉内固定术中骨水泥渗漏的影响因素。方法:回顾性分析 2020 年 6月—2023 年 6 月医院收治的 98 例行椎弓根螺钉内固定术治疗的骨质疏松性脊柱骨折患者的资料，根据骨水泥渗漏发生情况将患者分为骨水泥渗漏组和骨水泥正常组。比较骨水泥渗漏组和骨水泥正常组患者临床特征，采用logistic回归分析影响骨质疏松性脊柱骨折患者椎弓根螺钉内固定术中骨水泥渗漏的危险因素。结果:98 例行椎弓根螺钉内固定术治疗的骨质疏松性脊柱骨折患者中，共有 28 例患者发生骨水泥渗漏，渗漏率为 28。57%。骨水泥渗漏组性别、年龄、骨折程度与骨水泥正常组比较，差异无统计学意义(P>0。05)。骨水泥渗漏组骨水泥注射时机、椎体周壁破坏、骨水泥形态、骨水泥注入量、椎体压缩程度≥50%与骨水泥正常组比较，差异有统计学意义(P<0。05)。logistic回归分析结果显示，椎体压缩程度≥50%、椎体周壁破坏、骨水泥注入量多、骨水泥注射时机为粥状期均是影响骨质疏松性脊柱骨折患者椎弓根螺钉内固定术中骨水泥渗漏的独立危险因素(P<0。05)。结论:椎体压缩程度≥50%、椎体周壁破坏、骨水泥注入量多、骨水泥注射时机为粥状期均是影响骨质疏松性脊柱骨折患者椎弓根螺钉内固定术中骨水泥渗漏的独立危险因素。

外文标题：Analysis of Influencing Factors of Bone Cement Leakage During Pedicle Screw Fixation for Osteoporotic Spinal Fracture

外文摘要：Objective:To analyze the influencing factors of bone cement leakage during pedicle screw internal fixation surgery for osteoporotic spinal fractures.Method:The data of 98 patients with osteoporotic spinal fractures who underwent pedicle screw fixation in the hospital from June 2020 to June 2023 were retros pectively analyzed.Based on the occurrence bone cement leakage,the patients were divided into a bone cement leakage group and a normal bone cement group.The clinical characteristics of patients in the bone cement leakage group and the normal bone cement group were compared.Using logistic regression analysis to identify risk factors for bone cement leakage during pedicle screw fixation surgery in patients with osteoporotic spinal fractures.Result:Among 98 patients with osteoporotic spinal fractures treated with pedicle screw internal fixation,a total of 28 patients experienced cement leakage,with a leakage rate of 28.57%.There was no statistical significance in the comparism of gender,age and fracture degree between the bone cement leakage group and normal bone cement group(P>0.05).The timing of bone cement injection,the destruction of perivertebral wall,the shape of bone cement,the amount of bone cement injection and the degree of vertebral compression of≥50%in the bone cement leakage group were compared with those in the normal bone cement group,and differences were statistically significant(P<0.05).The results of logistic regression analysis showed that the degree of vertebral compression≥50%,the destruction of perivertebral wall,the amount of bone cement injection and the timing of bone cement injection were all independent risk factors for bone cement leakage during pedicle screw internal fixation in patients with osteoporotic spinal fractures(P<0.05).Conclusion:The degree of vertebral compression≥50%,the destruction of vertebral peripheral wall,the large amount of bone cement injection,and the time of bone cement injection in the Congee phase were all independent risk factors for bone cement leakage during pedicle screw internal fixation in patients with osteoporotic spinal fracture.

外文关键词：

Osteoporotic spinal fracturePedicle screw fixationBone cement leakageBone cement morphologyThe amount of bone cement injected

作者：

苟东凯、单文翰、王焱、刘全敬

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作者单位：

西藏大学医学院西藏拉萨 850000

关键词：

骨质疏松性脊柱骨折椎弓根螺钉内固定术骨水泥渗漏骨水泥形态骨水泥注入量

出版年：

2024

DOI：