资源描述：
《PKP联合小切口椎板开窗减压治疗伴有脊髓或神经根损伤症状的骨质疏松性压缩骨折.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、PKP联合小切口椎板开窗减压治疗伴有脊髓或神经根损伤症状的骨质疏松性压缩骨折本文采集自网络，本站发布的论文均是优质论文，版权和著作权归原作者所有。［摘要］目的探?经皮椎体后凸成形术（PKP）联合小切口椎板开窗减压治疗伴有脊髓或神经根损伤症状的骨质疏松性压缩骨折的临床疗效。方法回顾性分析该院2013年9月一2015年1月收治的15例伴有脊髓或神经根损伤症状的骨质疏性压缩骨折患者，先行小切口椎板开窗解除脊髓及神经根的压迫，然后直视下经椎弓根穿刺，完成PKP操作•术后以疼痛视觉模拟评分（VAS）及ASIS分级评定患
2、者局部疼痛缓解及神经功能的恢复情况。结果15例患者均顺利完成手术，术后患者腰背部疼痛缓解，神经受压及椎管狭窄症状消失，术中共2节椎体发生骨水泥渗漏，但未出现不适症状・15例患者均获随访，随访时间9〜24个月，平均（16±0・4）个月，术后1周及末次随访吋VAS评分均较术前明显降低（P〈0・05）,末次随访时ASIS分级为：D级2例，E级13例。结论PKP联合小切口椎板减压治疗伴有脊髓或神经根损伤症状的骨质疏松性压缩骨折，能有效减轻局部疼痛症状，改善神经功能•为该类患者提供了一种疗效确切的选择。［关键词］PKP
3、,椎板开窗；减压；脊髓损伤；骨质疏松性压缩［中图分类号］R687.3［文献标识码］A［文章编号］1674-0742（2017）04（b）—0044—03AnalysisofPKPandLumbarDischerniationbySmallIncisionDiscectomyinTreatmentofOsteoporoticVertebralCompressionFractures卩atientswithSpinalCordorNerveRootInjuryWUGui-bingl,JIAXu-feng2,FEN
4、GDa-xiong31.DepartmentofOrthopedics,liejiangPeople'sHospital,Hejiang,SichuanProvince,646200China；2.DepartmentofOrthopedics,JianyangPeopleysHospital,Jianyang,SichuanProvince,641400China；3.DepartmentofSpineSurgery,AffiliatedHospitalofLuzhouMedicalCollege,Luzh
5、ou,SichuanProvince,646000China[Abstract]ObjectiveTostudytheclinicalcurativeeffectoflumbardischerniationbysmallincisiondiscectomyintreatmentofosteoporoticvertebralcompressionfracturespatientswithspinalcordornerverootinjury.Methods15casesofosteoporoticvertebr
6、alcompressionfracturespatientswithspinalcordornerverootinjuryadmittedandtreatedinourhospitalfromSeptember2013toJanuary2015wereselectedandweregiventhevertebrallaminafenestrationwithsmallincisionandthenfinishedthePKPoperation,andtheregionalpainreliefandrecove
7、ryofnervefunctionofpatientswereevaluatedbyVASandASIS・Results15casessuccessfullyfinishedtheoperation,andthepainsinthebackandwaistofpatientsafteroperationwererelievedandthereweretwocaseswithbonecementleakagebutwithoutdiscomfortsymptoms,15caseswerefollowed-up,
8、andthefollowtimewasbetween9monthsand24months,(16+0.4)monthsonaverage,andtheVASscorein1weekafteroperationandlastfollow-upobviouslydecreasedcomparedwiththosebeforeoperation(P〈0・05),andtheASISclassificati
