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1、1南京中医药大学2007级(南京,210029)2南京中医药大学附属江苏省中医院骨科3南京医科大学附属南京市第一医院骨科△通讯作者:王培民•临床研究•椎体成形术结合术前复位治疗骨质疏松性椎体压缩楔形骨折王均动1王培民2A梁斌3［摘要］目的:探讨椎体成形术结合术前复位治疗骨质疏松性椎体压缩楔形骨折可行性及应用价值。方法:采用椎体成形术结合术前复位治疗骨质疏松性椎体压缩楔形骨折20例，并与同期20例经皮kyphon球囊扩张后凸成形术的患者比较手术前后的VAS评分，伤椎椎体前中高度压缩率，后凸角度以及两组
2、伤椎椎体前中高度恢复率。结果:所有患者的术后椎体前中高度压缩率、后凸角度及VAS评分指数较术前均有显著的改善(P<0.05);同时两组组间的伤椎前屮高度恢复率进行比较(P〈0.05),差异有统计学意义。结论:椎体成形术结合术前复位与球囊扩张后凸成形术都能有效的恢复伤椎高度及后凸角，但前者在恢复伤椎椎体前缘高度上优于后者，在恢复伤椎的中间高度上弱于后者。［关键词］压缩性骨折;楔形骨折；胸腰椎；术前复位；椎体成形术［中图分类号］R683.2［文献标识码］A［文章编号］1005-0205(2010)02-
3、0032-03PreoperativeReductioninPercutaneousVertebroplastyforOsteoporoticVertebralCompressionWedgeFracturesWANGJundonglWANGPeimin2LIANGBin3INanjingUniversityofTraditionalChineseMedicine,Nanjing210029,China2DepartmentofOrthopedics,JiangsuHospitalofTraditi
4、onalChineseMedicine,NanjingUniversityofTraditionalChineseMedicine,Nanjing210029,ChinaAbstractObjective:Toexplorethefeasibilityandclinicaleffectofpreoperativereductioninpercutaneousvertebroplasty(PVP)forthetreatmentofosteoporoticvertebralcompressionwedg
5、efractures・Methods:Fortypatientswithosteoporoticvertebralcompressionwedgefracturesweredividedintotwogroups,onegrouptreatedwithpreoperativereductioncom binedwithPVP,andtheothergrouptreatedwithpreoperativereductionandpercutaneouskyphoplasty(PKP)•There su
6、ltswereevaluatedwithvisualanalogscale(VAS),vertebralheightlossandCobbangleofvertebralcompressionfrac-tures.ResuIts:Comparedwithbeforethetreatment,thevertebralheightlossandCobbangleaftertheoperationweresig-nificantlyimprovedinbothgroups(P<0.05).Therewas
7、alsosignificantdiffereneeintherecoveryofvertebralheightbe~tweenthetwogroups(P<0.05).Conclusion:ThepreoperativereductioninPVPandPKPiseffectiveinthetreatmentofosteoporoticvertebralcompressionwedgefractures・KeywordsCompressionfracture;Wedgefracture;thorac
8、olumbarvertebra;Preoperativereduction;Vertebroplasty随着社会人口老龄化,世界各国骨质疏松(osLeoporosis,0P)的发生率在增加。据资料显示,在骨质疏松性骨折中，以胸腰椎压缩性骨折为多[1],而且由于多为屈曲受损，所以以前屮柱压缩居多。木组临床研究分析了椎体成形术(PVP)结合术前复位与椎体后凸成形术(PKP)治疗骨质疏松性椎体压缩楔形骨折的情况，现报告如下。1资料与方法1.1一般资料观察病例共40例(病例来
