文档介绍：经皮椎体成形术或椎体后凸成形术治疗多节段老年骨质疏松性脊柱骨折作者:田华科,王建作者单位:第三军医大学新桥医院骨科,重庆400037【摘要】目的探讨经皮椎体成形术、椎体后凸成形术治疗多节段老年骨质疏松性脊柱压缩骨折的疗效。方法根据影像学特点,对13例老年骨质疏松性多节段脊柱压缩骨折选择性进行单侧经皮椎体成形术或球囊扩张椎体后凸成形术。年龄54~83岁;其中2个椎体压缩8例,3个椎体压缩4例,4个椎体压缩1例。结果13例在术后腰背部疼痛基本消失,24小时后均离床活动,患者的视觉模拟评分(VAS)由术前(±)分降至术后(±)分,手术前后差异有统计学意义(P<),椎体高度恢复明显,°。术后随访6~12个月,腰背痛无复发。结论对多节段老年骨质疏松性脊柱骨折的患者,根据影像学特点选择经皮椎体成形术、球囊扩张椎体后凸成形术治疗能取得满意的疗效。【关键词】椎体成形术脊柱骨折骨质疏松老年 Treatmentofmultivertebralspinalfractureinelderlypatientswithosteoporosisbypercutaneousvertebroplastyandpercutaneouskyphoplasty TIANHuake,WANGJian DepartmentofOrthopedics,XinqiaoHospital,ThirdMilitaryMedicalUniversity,Chongqing400037,China Abstract:pressionfractureofmulti,aged54to83years,pressionfractureofthevertebrae,,pressedfractureof2vertebrae,4withfractureof3vertebrae,(P<).VertebralheightsandCobbangleimprovedsignificantly(P<)ordingtoimaginalcharactershassatisfactoryclinicalefficacy. Keywords