单侧PVP治疗胸腰椎骨质疏松性压缩骨折安全有效:同一术者连续性病例分析
Unilateral Percutaneous Vertebroplasty Is Safe and Effective in the Treatment of Osteoporotic Vertebral Compression Fractures: Continuous Case Analysis of the Same Surgeon
摘要: 目的:观察单侧穿刺经皮椎体成形术治疗骨质疏松性胸腰椎骨折的临床疗效及安全性。方法:骨质疏松性胸腰椎骨折患者91例,采用单侧穿刺经皮椎体成形术治疗,分别于术前、术后1天、术后3个月采用oswestry功能障碍指数(oswestry disability index, ODI)和疼痛强度数字评分法(numeric rat-ing scales, NRS)评估患者疼痛情况。结果:治疗前、后比较ODI指数、NRS评分差异有统计学意义(P < 0.05)。结论:单侧PVP治疗骨质疏松性胸腰椎骨折安全性好、疗效满意。
Abstract: Background: To observe the clinical efficacy and safety of unilateral percutaneous vertebroplasty (PVP) in the treatment of osteoporotic vertebral compression fractures (OVCFs). Methods: The ret-rospective study included 91 patients (age range 53~91 years) with OVCFs treated with PVP from March 2018 to December 2019 in our department. A visual analog scale (VAS) and the Chinese modified Oswestry Disability Index were used to evaluate the pain before and after PVP. The nu-meric rating scales (NRS) and Oswestry Disability Index (ODI) were used to evaluate the pain pre-operative, 1 day and 3 months postoperative respectively. Results: The mean NRS score and ODI were reduced from 7.25% ± 0.77% to 2.79% ± 0.80%, 1.40% ± 0.53% and 69.65% ± 4.41% to 20.95% ± 5.55%, 10.24% ± 3.92%, respectively. Postoperative NRS score and ODI were significant-ly improved (P < 0.05). Conclusion: Unilateral PVP is safe and effective in the treatment of OVCF.
文章引用:王冠兴, 李彦明, 刘相旭. 单侧PVP治疗胸腰椎骨质疏松性压缩骨折安全有效:同一术者连续性病例分析[J]. 临床医学进展, 2023, 13(2): 2847-2853. https://doi.org/10.12677/ACM.2023.132402

参考文献

[1] 杨惠林, Hansen A Yuan, 等. 椎体后凸成形术疗老年骨质疏松脊柱压缩骨折[J]. 中华骨科杂志, 2003, 23(5): 262-265.
[2] Fahed, R., et al. (2016) Safety and Clinical Effectiveness of Percutaneous Vertebroplasty in the Elderly (≥80 Years). European Radiology, 26, 2352-2358. [Google Scholar] [CrossRef] [PubMed]
[3] Galibert, P., Deramond, H., et al. (1987) Preliminary Note on the Treatment of Vertebral Angioma by Percutaneous Acrylic Vertebro-plasty. Neuro-Chirurgie, 33, 166-168.
[4] 赵必增, 贾连顺, 等. 椎体成形术及其进展[J]. 骨与关节损伤杂志, 2001, 16(6): 470.
[5] Yi, H., Jeong, J., et al. (2016) Percutaneous Vertebroplasty versus Conservative Treatment for One Level Thoracolumbar Osteoporotic Compression Fracture: Results of an over 2-Year Follow-Up. Pain Physician, 19, E743-E750. [Google Scholar] [CrossRef
[6] Suhail, A., Shabir, D., et al. (2007) Percutaneous Vertebroplasty for Osteoporotic Fractures. Pain Physician, 10, 559-563.
[7] Kaufmann, T.J., et al. (2006) The Effects of Cement Volume on Clinical Outcomes of Percutaneous Vertebroplasty. AJNR. American Journal of Neuroradiology, 27, 1933-1937.
[8] Liebschner, M., Rosenberg, W., et al. (2001) Effects of Bone Cement Volume and Distribution on Vertebral Stiffness after Vertebroplasty. Spine, 26, 1547-1554. [Google Scholar] [CrossRef] [PubMed]
[9] Hu, K.-Z., Chen, S.-C. and Xu, L. (2018) Comparison of Percutaneous Balloon Dilation Kyphoplasty and Percutaneous Vertebroplasty in Treatment for Thoracolumbar Verte-bral Compression Fractures. European Review for Medical and Pharmacological Sciences, 22, 96-102.
[10] Zhang, Y.L., et al. (2017) Comparison of the Efficacy between Two Micro-Operative Therapies of Old Patients with Osteopo-rotic Vertebral Compression Fracture: A Network Meta-Analysis. Journal of Cellular Biochemistry, 118, 3205- 3212. [Google Scholar] [CrossRef] [PubMed]
[11] Katrin, E., Stephan, Z., et al. (2014) Outcome of Long-Axis Percutaneous Sacroplasty for the Treatment of Sacral Insufficiency Fractures with a Radiofrequency-Induced, High-Viscosity Bone Cement. Skeletal Radiology, 43, 493-498. [Google Scholar] [CrossRef] [PubMed]
[12] Teles, A.R. and Mattei, T.A. (2015) Vertebral Augmentation in Thoracolumbar Compression Fractures: A Critical Review on Available Evidence and Ongoing Controversies. Minerva Ortopedica e Traumatologica, 66, 25-39.
[13] Agnieszka, S. and Zbigniew, K. (2014) Treatment of Multiple Osteopo-rotic Vertebral Compression Fractures by Percutaneous Cement Augmentation. International Orthopaedics, 38, 2309-2312. [Google Scholar] [CrossRef] [PubMed]
[14] Yang, J.Y., Lee, J.K., et al. (2011) Clinical Results of Unilateral Partial Vertebroplasty (UPVP) in Osteoporotic Vertebral Fracture. Journal of Korean Society of Spine Surgery, 18, 64-69. [Google Scholar] [CrossRef
[15] Chen, X.F., et al. (2018) Is Unilateral Percutaneous Kyphoplasty Superior to Bilateral Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures? Evidence from a Systematic Review of Discordant Meta-Analyses. Pain Physician, 21, 327-336.
[16] Dones, I., Messina, G., et al. (2011) A Modified Visual Analogue Scale for the Assessment of Chronic Pain. Neurological Sciences, 32, 731-733. [Google Scholar] [CrossRef] [PubMed]
[17] Li, S., Mi, S., et al. (2019) Application of Ultrasound Fusion Im-aging Technique for Unilateral Percutaneous Vertebroplasty in Treatment of Osteoporotic Thoracolumbar Compression Fracture. Journal of X-Ray Science and Technology, 28, 171-183. [Google Scholar] [CrossRef
[18] Barr, Lemley, et al. (2000) Percutaneous Vertebroplasty for Pain Relief and Spinal Stabilization. Spine (Phila Pa 1976), 25, 923-928. [Google Scholar] [CrossRef] [PubMed]
[19] Diamond, T.H., Champion, B., et al. (2003) Management of Acute Osteoporotic Vertebral Fractures: A Nonrandomized Trial Comparing Percutaneous Vertebro-plasty with Conservative Therapy. The American Journal of Medicine, 114, 257-265. [Google Scholar] [CrossRef
[20] Layton, K.F., Thielen, K.R., et al. (2007) Vertebroplasty, First 1000 Levels of a Single Center: Evaluation of the Outcomes and Complications. American Journal of Neuroradiol-ogy, 28, 683-689.
[21] Kobayashi, K., Shimoyama, K., et al. (2005) Percutaneous Vertebroplasty Immediately Relieves Pain of Osteoporotic Vertebral Compression Fractures and Prevents Prolonged Immobilization of Patients. European Radiology, 15, 360- 367. [Google Scholar] [CrossRef] [PubMed]
[22] Yan, Y., Xu, R. and Zou, T. (2015) Is Thoracolumbar Fascia Injury the Cause of Residual Back Pain after Percutaneous Vertebroplasty? A Prospective Cohort Study. Osteoporosis International, 26, 1119-1124. [Google Scholar] [CrossRef] [PubMed]
[23] Liu, H., Tao, H.R. and Luo, Z.J. (2009) Validation of the Simpli-fied Chinese Version of the Oswestry Disability Index. Spine, 34, 1211-1216. [Google Scholar] [CrossRef
[24] Zhen, G.X. and Zhao, X.O. (2002) Reliability of the Modi-fied Oswestry Disability Index for Evaluating Patients with Low Back Pain.