临床骨科杂志
臨床骨科雜誌
림상골과잡지
JOURNAL OF CLINICAL ORTHOPAEDICS
2014年
3期
249-252
,共4页
骨质疏松性压缩骨折%椎体后凸成形术%继发椎体骨折%危险因素
骨質疏鬆性壓縮骨摺%椎體後凸成形術%繼髮椎體骨摺%危險因素
골질소송성압축골절%추체후철성형술%계발추체골절%위험인소
osteoporotic compression fracture%percutaneous kyphoplasty%subsequent fracture of vertebral%risk factor
目的：评估椎体后凸成形术（PKP）后继发邻近椎体骨折的相关危险因素。方法对103例因骨质疏松致椎体压缩骨折行单或多节段PKP治疗的患者进行回顾性研究，对患者性别、年龄、体重指数、骨密度、伤椎压缩程度、有无侧凸畸形，伤椎前缘恢复程度、骨水泥注入量、手术入路（单侧、双侧）、骨水泥渗漏（椎间盘）等资料进行统计学分析。结果103例均获得随访，时间6～15（9.6±2.8）个月。27例患者继发邻近椎体骨折，再骨折率为26.2％。将各因素输入Logistic回归“向前Wald”的分析模型，结果显示骨密度、骨水泥量、体重指数及伤椎前缘恢复程度是术后继发邻近椎体骨折的相关危险因素。结论骨水泥量过大、低体重指数、伤椎前缘高度过度恢复、低骨密度是PKP术后继发邻近椎体压缩骨折的危险因素。
目的：評估椎體後凸成形術（PKP）後繼髮鄰近椎體骨摺的相關危險因素。方法對103例因骨質疏鬆緻椎體壓縮骨摺行單或多節段PKP治療的患者進行迴顧性研究，對患者性彆、年齡、體重指數、骨密度、傷椎壓縮程度、有無側凸畸形，傷椎前緣恢複程度、骨水泥註入量、手術入路（單側、雙側）、骨水泥滲漏（椎間盤）等資料進行統計學分析。結果103例均穫得隨訪，時間6～15（9.6±2.8）箇月。27例患者繼髮鄰近椎體骨摺，再骨摺率為26.2％。將各因素輸入Logistic迴歸“嚮前Wald”的分析模型，結果顯示骨密度、骨水泥量、體重指數及傷椎前緣恢複程度是術後繼髮鄰近椎體骨摺的相關危險因素。結論骨水泥量過大、低體重指數、傷椎前緣高度過度恢複、低骨密度是PKP術後繼髮鄰近椎體壓縮骨摺的危險因素。
목적：평고추체후철성형술（PKP）후계발린근추체골절적상관위험인소。방법대103례인골질소송치추체압축골절행단혹다절단PKP치료적환자진행회고성연구，대환자성별、년령、체중지수、골밀도、상추압축정도、유무측철기형，상추전연회복정도、골수니주입량、수술입로（단측、쌍측）、골수니삼루（추간반）등자료진행통계학분석。결과103례균획득수방，시간6～15（9.6±2.8）개월。27례환자계발린근추체골절，재골절솔위26.2％。장각인소수입Logistic회귀“향전Wald”적분석모형，결과현시골밀도、골수니량、체중지수급상추전연회복정도시술후계발린근추체골절적상관위험인소。결론골수니량과대、저체중지수、상추전연고도과도회복、저골밀도시PKP술후계발린근추체압축골절적위험인소。
Objective To evaluate the risk factors of secondary adjacent vertebral fractures after percutaneous ky-phoplasty (PKP).Methods 103 cases of vertebral compression fractures caused by osteoporosis in patients with single or multiple line segments PKP retrospective study of treatment for patients with gender,age,body mass index, bone density,vertebral compression injury,with or without scoliosis,the leading edge of the injured vertebra degree of recovery,the amount of bone cement injection,surgical approach (unilateral,bilateral),bone cement leakage (disc) and other data were statistically analyzed.Results 103 cases were followed up for 6 ~15 (9.6 ±2.8)months.27 patients had secondary adjacent vertebral fracture,re-fracture rate was 26.2%.Logistic regression of factors enter the“forward Wald”analysis model showed that bone mineral density,bone cement volume,body mass index and degree of recovery of the injured vertebra leading edge of the risk factors associated with postoperative secondary was adjacent vertebral fractures.Conclusions Over dose bone cement,low body mass index,over restoration of injured vertebra an-terior height and low bone density are the risk factors of secondary adjacent vertebral compression fractures after PKP.
