Long-term follow-up of vertebral osteoporotic fractures treated by percutaneous vertebroplasty
Long-term follow-up of vertebral osteoporotic fractures treated by percutaneous vertebroplasty
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DOI：
10.1007/s10067-004-0914-7
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发表时间：
2004-08-01
影响因子：
3.4
通讯作者：
Cortet, B
中科院分区：
文献类型：
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作者：
Legroux-Gérot, I;Lormeau, C;Cortet, B
本研究的目的是：评估经皮椎体成形术（PVP）治疗疼痛性椎体骨折的长期有效性和安全性，并估计骨水泥固定椎体附近椎体骨折的风险。进行了一项前瞻性开放研究。1995年7月至2000年9月，对16例经广泛保守治疗无效的症状性腰椎骨折患者进行了PVP。所有患者均随访1年以上。根据Huskisson视觉模拟量表（VAS）和McGill-Melzack评分系统（MGM）的疼痛随时间的变化评估PVP的疗效。还通过测量生活质量随时间的变化来评估手术的有效性，生活质量的变化由诺丁汉健康状况（NHP仪器）评估：对16名患者的21个椎体进行了PVP治疗。平均随访时间为35个月。VAS评估的疼痛从PVP前的平均71.4 mm ± 13显著降低至6个月后的36 mm ± 30，最长随访时为39 mm ± 33（p
The aim of this study was:to assess the long-term efficacy and safety of percutaneous vertebroplasty (PVP) for treating painful vertebral osteoporotic fractures, and to estimate the risk of vertebral fracture in the vicinity of a cemented vertebra. A prospective open study was conducted. PVP were carried out between July 1995 and September 2000 for 16 patients with symptomatic osteoporotic vertebral fracture that had not responded to extensive conservative medical therapy. All the patients were followed-up for more than 1 year. The efficacy of the PVP was assessed by the changes over time in pain on Huskisson's visual analog scale (VAS) and on the McGill-Melzack scoring system (MGM). The efficacy of the procedure was also assessed by measuring the changes over time in quality of life assessed by the Nottingham Health Profile (NHP instrument): twenty-one vertebrae treated by PVP in 16 patients were evaluated. The mean duration of follow-up was 35 months. Pain assessed by the VAS significantly decreased from a mean of 71.4 mm+/-13 before PVP to 36 mm+/-30 after 6 months, and to 39 mm+/-33 at the time of maximal follow-up (p