Percutaneous balloon kyphoplasty of osteoporotic vertebral compression fractures with intravertebral cleft.
Percutaneous balloon kyphoplasty of osteoporotic vertebral compression fractures with intravertebral cleft.
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经皮球囊后凸成形术治疗骨质疏松性椎体压缩性骨折伴椎体内裂
DOI：
10.4103/0019-5413.125498
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发表时间：
2014-01
影响因子：
1
通讯作者：
Zhao F
中科院分区：
文献类型：
--
作者：
Chen B;Fan S;Zhao F
骨质内裂口是骨质疏松性椎骨压缩裂缝（OVCF）的结构变化，这是缺血性椎骨骨质症的表现，与骨折骨不足和伪关节炎复杂，并且出现在OVCF的后期。尽管对OVCF进行了许多研究，但很少有旨在评估OVCF中脊椎裂缝的临床原理特征和临床意义。这项研究研究了OVCF内脊椎裂缝的临床原理特征，以及对经皮球球体骨化成形术（PKP）功效的影响。
对139名没有脊椎内裂口（A组）和44例OVCF患者的OVCF患者进行了PKP（B组B组）。评估了受影响椎体的频率分布，骨水泥输注体积，成像表现，泄漏率和类型，受影响椎体的术前和术后高度，视觉模拟量表（VAS）和OSWESTRY残疾指数（ODI）评分。
在两组之间受影响的椎体和骨水泥泄漏类型的频率分布中发现了显着差异（p <0.05）。但是，未检测到骨水泥输注量和泄漏率（P> 0.05）的差异。在这两组中，受影响的椎体的术后高度得到显着提高（p <0.05）。 B组中椎体高度的恢复比A组中的恢复更为明显（P <0.05）。 B组的术前VA和ODI得分明显高于A组中的VAS和ODI得分（P <0.05）。手术治疗后，两组的疼痛缓解和日常活动功能得到显着改善（P <0.05），两组之间术后得分没有显着差异（P> 0.05）。
脊椎内裂口表现出特定的临床和成像以及骨水泥的形成特征。 PKP可以有效地恢复受影响的椎体高度，减轻疼痛并改善患者的日常活动功能。
Background Intravertebral cleft is a structural change in osteoporotic vertebral compression fractures (OVCF), which is the manifestation of ischemic vertebral osteonecrosis complicated with fracture nonunion and pseudoarthrosis and appears in the late stage of OVCF. Despite numerous studies on OVCF, few aim to evaluate the clinicoradiological characteristics and clinical significance of intravertebral cleft in OVCF. This study investigates clinicoradiological characteristics of intravertebral cleft in OVCF and the effect on the efficacy of percutaneous balloon kyphoplasty (PKP). Materials and Methods PKP was performed on 139 OVCF patients without intravertebral cleft (group A) and 44 OVCF patients with intravertebral cleft (group B). The frequency distribution of the affected vertebral body, bone cement infusion volume, imaging manifestation, leakage rate and type, preoperative and postoperative height of the affected vertebral body, visual analog scale (VAS) and Oswestry disability index (ODI) score were evaluated. Results Significant differences were found in the frequency distribution of the affected vertebral body and bone cement leakage type between the two groups ( P < 0.05). However, differences in bone cement infusion volume and leakage rate ( P > 0.05) were not detected. In both groups, the postoperative height of the affected vertebral body was significantly improved ( P < 0.05). The restoration of vertebral body height in group B was more evident than that in group A ( P < 0.05). The preoperative VAS and ODI scores in group B were significantly higher than those in group A ( P < 0.05). After surgical treatment, pain relief and daily activity function in both groups were significantly improved ( P < 0.05), and no significant difference in postoperative scores was detected between the two groups ( P > 0.05). Conclusion Intravertebral cleft exhibits specific clinical and imaging as well as bone cement formation characteristics. PKP can effectively restore the affected vertebral body height, alleviate pain, and improve daily activity function of patients.
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影响因子：
2.3
作者：
Wu MH;Huang TJ;Cheng CC;Li YY;Hsu RW
通讯作者：
Hsu RW
影响因子：
4
作者：
Liu, J. T.;Liao, W. J.;Lin, T. B.
通讯作者：
Lin, T. B.
影响因子：
4.5
作者：
Nieuwenhuijse, Marc J.;Van Erkel, Arian R.;Dijkstra, Sander
通讯作者：
Dijkstra, Sander
影响因子：
4.8
作者：
Oka, M;Matsusako, M;Numaguchi, Y
通讯作者：
Numaguchi, Y
影响因子：
2.6
作者：
Ryu, C-W;Han, H.;Lim, M-K
通讯作者：
Lim, M-K