CAJ | 학술논문

目的探讨导航引导下椎体成形术治疗骨质疏松性椎体压缩性骨折的疗效。方法导航下PVP或PKP治疗骨质疏松性椎体压缩性骨折15例(20椎体)，根据导航信息行手术治疗。观察手术前后VAS评分变化及并发症。结果20个椎体均成功完成手术。术后VAS评分较术前降低，具有统计学差异。结论导航下经皮椎体成形术治疗骨质疏松性椎体压缩性骨折，可提高手术的安全性和精确性，降低辐射的损害。
목적탐토도항인도하추체성형술치료골질소송성추체압축성골절적료효。방법도항하PVP혹PKP치료골질소송성추체압축성골절15례(20추체)，근거도항신식행수술치료。관찰수술전후VAS평분변화급병발증。결과20개추체균성공완성수술。술후VAS평분교술전강저，구유통계학차이。결론도항하경피추체성형술치료골질소송성추체압축성골절，가제고수술적안전성화정학성，강저복사적손해。
Objective To explore the clinical ef ect of PVP or PKP by navigation for osteoporotic vertebral compression fracture. Methods A total of 15 cases osteoporotic vertebral compression fractures (20 vertebraes) underwent PVP or PKP by navigation.The reference frame was fixed on the vertebral spinous near or the compressed vertebral,got anterior-posterior and lateral radiography and registered appliances to acquire the virtual images on the computer,then did the operation according to the message above.The VAS value was observed before and after the operation.Results Al operations were successful,no nerve root or spinal cord injuries,no pulmonary embolism and cardiovascular or cerebrovascular emergencies.A total of 4 cases with bone cement leakage in surgery.The VAS value,ODI value decreased after operation, showing statistical difference between them. Conclusion PVP or PKP by navigation for osteoporotic vertebral compression fracture has satisfactory therapeutic ef ect with more safe and precise,less-radiation treatment.