CAJ | 학술논문

目的探讨X线、CT、MRI在评估症状性骨质疏松椎体压缩性骨折手术治疗中价值.方法回顾性分析北京中日友好医院2011年11月至2012年5月41例经皮椎体成形术(PVP)及经皮球囊扩张椎体后凸成形术(BKP)单纯骨质疏松椎体压缩性骨折患者的术前胸腰椎CT(含三维重建)、MRI(含脂肪抑制序列)及手术前后X线影像学资料.结果在CT扫描中共显示52个病变椎体,而在MRI共显示70个病变椎体,其中新发骨折44个,陈旧骨折8个,骨挫伤18个,其中8个陈旧骨折和2个挫伤的椎体程度较轻采取保守治疗,结合MRI检查序列特别是脂肪抑制序列显示60个有治疗意义椎体,效果优于CT检查;胸腰椎X线显示60个病变椎体术后高度有所提高,Cobb角略减小,椎体局部后凸情况有所改善,有助于手术疗效评估及术后追随.结论术前CT、MRI对单纯骨质疏松椎体压缩性骨折手术治疗具有重要临床指导意义,能够对治疗提供术前参考,提高治疗准确性及疗效.X线检查有助于术后疗效评估及术后追随.
목적 탐토X선、CT、MRI재평고증상성골질소송추체압축성골절수술치료중개치.방법 회고성분석북경중일우호의원2011년11월지2012년5월41례경피추체성형술(PVP)급경피구낭확장추체후철성형술(BKP)단순골질소송추체압축성골절환자적술전흉요추CT(함삼유중건)、MRI(함지방억제서렬)급수술전후X선영상학자료.결과 재CT소묘중공현시52개병변추체,이재MRI공현시70개병변추체,기중신발골절44개,진구골절8개,골좌상18개,기중8개진구골절화2개좌상적추체정도교경채취보수치료,결합MRI검사서렬특별시지방억제서렬현시60개유치료의의추체,효과우우CT검사;흉요추X선현시60개병변추체술후고도유소제고,Cobb각략감소,추체국부후철정황유소개선,유조우수술료효평고급술후추수.결론 술전CT、MRI대단순골질소송추체압축성골절수술치료구유중요림상지도의의,능구대치료제공술전삼고,제고치료준학성급료효.X선검사유조우술후료효평고급술후추수.
Objective To evaluate the values of radiology,computed tomography (CT) and magnetic resonance imaging (MRI) in assessing symptomatic osteoporosis vertebral compression fractures in vertebroplasty and kyphoplasty.Methods Retrospective reviews were conducted for 41 osteoporotic vertebral compression fractures patients with preoperative CT (with 3D reconstruction)/MRI (with fat saturation sequence) and preoperative and postoperative radiological imaging data.All patients underwent percutaneous vertebroplasty (PVP) or balloon kyphoplasty (BKP) when conservative treatment failed to offer pain relief.Results CT scan showed 52 vertebral fractures while MRI detected a total of 70 lesions of vertebral body,including 44 new fractures,8 old fractures and 18 bone bruises.Eight old fractures and 2 mild bone bruises were treated conservatively.In conjunctions with MRI,especially fat saturation sequence,60 therapeutic vertebral bodies were visualized.It was superior to CT.As demonstrated by preoperative and postoperative radiology,vertebral body height improved and Cobb Angle slightly decreased for 60 lesions.Conclusion For vertebral compression fractures in osteoporosis patients,preoperative CT and MRI examinations have important clinical significance in providing treatment guidance and assessing postoperative outcomes.