CAJ | 학술논문

目的：探讨应用经皮球囊扩张椎体后凸成形术（PKP）治疗老年胸腰椎爆裂骨折的临床可行性及安全性。方法从2007年10月至2012年02月，采用经皮球囊扩张椎体后凸成形术治疗老年骨质疏松性胸腰椎爆裂骨折78例共134个椎体，经椎弓根穿刺建立工作套管，放置可扩张球囊，撑开使塌陷椎体复位，使用骨水泥充填椎体，C臂X光机准确定位及检测。结果78例病患者手术成功，术后腰背疼痛缓解明显，患者生活质量明显提高。术后影像学复查显示伤椎高度明显恢复，后凸畸形大部分矫正。结论 PKP在治疗老年骨质疏松性胸腰椎爆裂骨折具有可行性，但有一定的手术风险，需严格做好术前准备、严格掌握手术适应症及精细准确的术中操作。
목적：탐토응용경피구낭확장추체후철성형술（PKP）치료노년흉요추폭렬골절적림상가행성급안전성。방법종2007년10월지2012년02월，채용경피구낭확장추체후철성형술치료노년골질소송성흉요추폭렬골절78례공134개추체，경추궁근천자건립공작투관，방치가확장구낭，탱개사탑함추체복위，사용골수니충전추체，C비X광궤준학정위급검측。결과78례병환자수술성공，술후요배동통완해명현，환자생활질량명현제고。술후영상학복사현시상추고도명현회복，후철기형대부분교정。결론 PKP재치료노년골질소송성흉요추폭렬골절구유가행성，단유일정적수술풍험，수엄격주호술전준비、엄격장악수술괄응증급정세준학적술중조작。
Objective To evaluate the possibility and safety of balloon kyphoplasty for the aged osteoporotic thoracolumbar burst fractures. Methods From October 2007 to December 2012, 78 patients with aged osteoporotic thoracolumbar burst fractures were treated by balloon kyphoplasty. The inflatable balloon was inserted through pedicle of vertebal arch to make fracture reduction, then the centrum was stuffed with bone cement. The whole procedure was pinpointed and detected by C-arm x-ray machine. Results All operations were completed successfully. The lumbar and back pain of the patients relieved obviously. The quality of patients' life was significantly improved. Imaging examinations revealed that the vertebrae altitude was recovered and the kyphosis was corrected obviously. Conclusion Balloon kyphoplasty is effective to treat the aged osteoporotic thoracolumbar burst fractures. But the operation had certain risk, we must do a good job in preoperative preparation, strictly handle surgical indication and accurately operate.