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骨质疏松性椎体压缩骨折PKP术后脊柱-骨盆矢状位失平衡对继发骨折、生存质量的影响(PDF)

《创伤外科杂志》[ISSN:/CN:]

期数:
2020年10期
页码:
733-737
栏目:
论著·胸腰椎损伤
出版日期:
2020-10-20

文章信息/Info

Title:
Effect of spine-pelvic sagittal imbalance after PKP on the secondary fracture and quality of life in osteoporotic vertebral compression fractures
文章编号:
1009-4237(2020)10-0733-05
作者:
王喜安; 杨六中; 何秉辉; 管旭日; 李朝顶
221000 江苏 徐州,徐州市中医院骨科
Author(s):
WANG Xi-an; YANG Liu-zhong; HE Bing-hui; GUAN Xu-ri; LI Chao-ding
Department of Orthopaedics,Xuzhou Hospital of Traditional Chinese Medicine, Xuzhou,Jiangsu 221000,China
关键词:
椎体压缩骨折;  骨质疏松;  继发性骨折;  经皮椎体后凸成形术;  矢状位平衡
分类号:
R 687.3
DOI:
10.3969/j.issn.1009-4237.2020.10.003
文献标识码:
A
摘要:
目的 探讨骨质疏松性椎体压缩骨折(OVCF)经皮椎体后凸成形术(PKP)术后脊柱-骨盆矢状位失平衡对继发骨折、生存质量的影响。方法 回顾性分析2017年12月—2019年6月徐州市中医院骨科收治的57例OVCF患者的临床资料,男性34例,女性23例; 年龄50～70岁,平均58. 35岁。患者均在术前采用腰椎双能量X线吸收测量法对骨密度进行测量并记录T值,采用自动检测仪测量并计算患者BMI值。所有患者脊柱-骨盆矢状位平衡参数测量在行PKP术后进行,根据患者术后是否继发骨折(术后1年内)分为正常组(27例)及骨折组(30例)。比较两组患者骨密度、BMI、脊柱-骨盆矢状位平衡参数及生存质量[根据VAS评分、日本骨科协会评估治疗分数(JOA)、Oswestry功能障碍指数(ODI)指标判断]。结果 患者随访12～18个月,平均 15.13个月。(1)两组术前骨密度及BMI比较差异无统计学意义(P>0.05);(2)骨折组患者矢状面偏移(SVA)、胸椎后凸角(TK)大于正常组,腰椎前凸角(LL)、骶骨倾斜角(SS)、骨盆入射角(PI)小于正常组(P<0.05); 两组胸腰椎后凸角(TLK)、骨盆倾斜角(PT)比较差异无统计学意义(P>0.05);(3)末次随访时正常组患者生存质量评分显著优于骨折组(P<0.05)。结论 较小的SVA、TK 及较大的LL、SS、PI 在OVCF患者PKP术后继发性骨折中起到一定的保护作用。

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备注/Memo

备注/Memo:
【通信作者】 杨六中,E-mail:zolopec927@163.com
更新日期/Last Update: 2020-10-20