CAJ | 학술논문

目的：探讨过伸复位结合经皮椎体后凸成形术治疗骨质疏松性压缩骨折的临床疗效。方法根据治疗方式的不同，将56例椎体压缩性骨折（OVCF）患者分为观察组和对照组，观察组采用在C臂透视下行过伸复位、体外定位结合经皮球囊扩张并注入骨水泥椎体后凸成形术，对照组采用经皮椎体成形术。对术前、术后3天、术后6个月的疼痛评分、椎体中线高度及矢状面Cobb角变化进行临床和影像学评估。结果观察组手术时间与术后并发症与对照组之间差异无统计学意义（P＞0．05），观察组术后6个月视觉模拟评分、伤椎椎体中线高度显著高于对照组，而矢状面Cobb角改变程度显著低于对照组，差异有统计学意义（P＜0．05）。结论过伸复位、体外定位结合经皮椎体后凸成形术治疗骨质疏松性OVCF具有创伤小、安全性较高、止痛效果良好、术后可早期下地活动等优点，是临床治疗OVCF的一种有效微创方法。
목적：탐토과신복위결합경피추체후철성형술치료골질소송성압축골절적림상료효。방법근거치료방식적불동，장56례추체압축성골절（OVCF）환자분위관찰조화대조조，관찰조채용재C비투시하행과신복위、체외정위결합경피구낭확장병주입골수니추체후철성형술，대조조채용경피추체성형술。대술전、술후3천、술후6개월적동통평분、추체중선고도급시상면Cobb각변화진행림상화영상학평고。결과관찰조수술시간여술후병발증여대조조지간차이무통계학의의（P＞0．05），관찰조술후6개월시각모의평분、상추추체중선고도현저고우대조조，이시상면Cobb각개변정도현저저우대조조，차이유통계학의의（P＜0．05）。결론과신복위、체외정위결합경피추체후철성형술치료골질소송성OVCF구유창상소、안전성교고、지통효과량호、술후가조기하지활동등우점，시림상치료OVCF적일충유효미창방법。
Objective To explore the effectiveness of hyperextensive reposition combined with percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fracture (OVCF) .Methods A total of 56 OVCF patients were divided into observation group ,treated with hyperextensive reposition combined with percutane-ous kyphoplasty after in vitro localization ,and control group ,treated with percutaneous vertebroplasty .Scores of pain evaluation ,vertebral height and Cobb angle were assessed before operation ,and 3 days and 6 months after operation . Results Surgical time and incidence of complication in observation group were not different with those in control group (P>0 .05) ,but Cobb angle was lower than group control (P<0 .05) at 6 months after operation (P<0 .05) . Conclusion Combination of hyperextensive reposition and percutaneous kyphoplasty after in vitro localization for the treatment of OVCF might be minimally invasive ,safe and effective to alleviate pain and shorten period of recum-bence .