中高黏度骨水泥椎体成形术恢复椎体高度疗效比较

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (2301 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the clinical efficacy of medium-viscosity cement with high-viscosity cement percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures to restore compressed vertebrae height.Methods Enrolled for this study were 158 vertebrae with osteoporotic vertebral compression fracture who had been treated by PVP in our department from Oct.2011 to Mar.2014 and followed up for at least two year.The cement volume injected were recorded.The anterior vertebral heights and the kyphosis angle were measured preoperative，post operative and at follow-up.They were randomly assigned into two groups according to the bone-cements they used.Postoperative vertebral height restoration，kyphosis correction were compared.Results The average cement volume injected was (4.2±1.6)mL，the average anterior height was (17.8±5.7)mm，cobb angle was (20.3±6.7)° before operation，and the average anterior height was (22.2±4.2)mm，cobb angle was (13.8±4.8)°after operation.The average anterior height was (22.0±4.5)mm，cobb angle was (13.1±5.2)° at follow-up，and anterior compression improvement was (15.1±9.6)%，cobb angle correction degree was (6.7±5.5)° in the medium-viscosity cement group.The average cement volume injected was (4.8±1.5)mL，the average anterior height was (17.1±5.5)mm，cobb angle was (21.8±6.5)° before operation，and the average anterior height was (23.6±4.7)mm，cobb angle was (12.8±5.4)° after operation and the average anterior height was (23.3±4.8)mm，cobb angle was (12.8±5.4)° at follow-up，and anterior compression improvement was (20.7±12.1)%，cobb angle correction degree was (－9.4±7.5)° in the high-viscosity cement group.There were no significant differences between these 2 groups in bone cement volume injected(P＞0.05).The average anterior height，cobb angle at postoperation were significantly improved after operation in both groups (P＜0.05).The anterior compression improvement and cobb angle correction degree of high-viscosity cement group were significantly better than the medium-viscosity cement group (P＜0.05).Conclusion Both medium-viscosity cement and high-viscosity cement PVP can restore vertebra height and improve kyphosis for the treatment of osteopo rotic vertebral compression fractures，whereas high-viscosity cement PVP is more effective in vertebral height restoration.

Key words： osteoporosis vertebral compression fracture vertebroplasty bone-cement

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2016/V22/I11/965

［1］Anselmetti GC，Zoarski G，Manca A，et al.Percutaneous vertebroplasty and bone cement leakage：clinical experience with a new highviscosity bone cement and delivery system for vertebral augmentation in benign and malignant compression fractures［J］.Cardiovascular and Interventional Radiology，2008，31(5)：937947.
［2］Baroud G，Crookshank M，Bohner M.Highviscosity cement significantly enhances uniformity of cement filling in vertebroplasty：An experimental model and study on cement leakage［J］.Spine，2006，31(22)：25622568.
［3］张亮，王静成，冯新民，等.高黏度骨水泥用于治疗骨质疏松性胸腰椎骨折治疗［J］.实用骨科杂志，2015，21(1)：15.
［4］Roghani T，Torkaman G，Movasseghe S，et al.Effects of shortterm ecercise with and without external loading on bone metabolism and balance in postmenopausal women with osteoporosis［J］.Rheumatology International，2013，33(2)：291298.
［5］Baerlocher MO，Saad WE，Dariushnia S，et al.Quality improvement guidelines for percutaneous vertebroplasty［J］.J Vasc Interv Radiol，2014，25(2)：165170.
［6］Layton KF，Thielen KR，Koch CA，et al.Vertebroplasty，first 1000 levels of a single center：evaluation of the outcomes and complications［J］.AJNR Am J Neuroradiol，2007，28(4)：683689.
［7］智新力，赵丽娟，霍霁.椎体成形术在骨质疏松性椎体骨折不愈合中的应用［J］.实用骨科杂志，2015，21(12)：10621065.
［8］Jensen ME，Evans AJ，Mathis JM，et al.Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures：technical aspects［J］.AJNR Am J Neuroradiol，1997，18(10)：18971904.
［9］Theodorou DJ，Theodorou SJ，Duncan TD，et al.Percutaneous balloon kyphoplasty for the correction of spinal deformity in painful vertebral body compression fractures［J］.Clin Imaging，2002，26(1)：15.
［10］McKiernan F，Jensen R，Faciszewski T.The dynamic mobility of vertebral compression fractures［J］.J Bone Miner Res，2003，18(1)：2429.
［11］Teng MM，Wei CJ，Wei LC，et al.Kyphosis correction and height restoration effects of percutaneous vertebroplasty［J］.AJNR Am J Neumradiol，2003，24(9)：18931900.
［12］邓亦奇，赵峰，李国华，等.中黏度与高黏度骨水泥治疗骨质疏松压缩性骨折的临床疗效对比分析研究［J］.颈腰痛杂志，2016，36(1)：1722.
［13］Hiwatashi A，Moritani T，Numaguchi Y，et al.Increase in vertebral body height after vertebroplasty［J］.AJNR Am J Neuroradiol，2003，24(2)：185189.
［14］严小明，熊飞龙，邓忠良，等.经皮椎体成形术对脊柱椎体高度影响的中长期结果69 例5年以上随访［J］.中华骨质疏松和骨矿盐疾病杂志，2010，3(2)：9399.
［15］任海龙，王吉兴，陈建庭，等.单侧与双侧经椎弓根入路经皮椎体成形术治疗骨质疏松性椎体压缩骨折的疗效比较［J］.中华创伤骨科杂志，2014，16(8)：684689.
［16］Pitton MB，Morgen N，Herber S，et al.Height gain of vertebral bodies and stabilization of vertebral geometry over one year after vertebroplasty of osteoporotic vertebral fractures［J］.Eur Radiol，2008，18(3)：608615.
［17］陈晓东，易小波，王洪，等.高黏度骨水泥治疗胸腰椎骨质疏松性轻度爆裂性骨折疗效观察［J］.中国骨与关节损伤杂志，2010，25(2)：134135.
［18］牛广续，刘振峰，王振斌，等.经皮椎体成形高黏度骨水泥注入修复老年椎体压缩骨折：椎体高度恢复评价［J］.中国组织工程研究，2015，19(38)：61266132.
［19］Wang CH，Ma JZ，Zhang CC，et al.Comparison of high-viscosity cement vertebroplasty and balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures［J］.Pain Physician，2015，18(2)：E187195.