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作者

Yang Li, Yi Mao, Guodong Wang, Jianmin Sun, Zhensong Jiang, Zihai Ding, Xingang Cui

作者单位

Department of Orthopaedics, People's Hospital of Quzhou, Quzhou, Zhejiang, China (mainland). Affiliations Anatomical Institute of Minimally Invasive Surgery, Southern Medical University, Guangzhou, Guangdong, China (mainland). Department of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China (mainland).

刊名

Medical science monitor : international medical journal of experimental and clinical research

年份

2021

卷号

Vol.27

页码

e930848

ISSN

1643-3750

摘要

BACKGROUND Percutaneous kyphoplasty has been widely used for osteoporotic vertebral compression fractures . However, whether this approach is suitable for osteoporotic vertebral fractures with spinal canal encroachment remains controversial. MATERIAL AND METHODS Of 526 patients who underwent PKP at our hospital, 40 had conditions associated with spinal canal encroachment, and were enrolled in the study. Detailed physical, neurological, and radiological examinations were performed on each patien...更多

BACKGROUND Percutaneous kyphoplasty has been widely used for osteoporotic vertebral compression fractures . However, whether this approach is suitable for osteoporotic vertebral fractures with spinal canal encroachment remains controversial. MATERIAL AND METHODS Of 526 patients who underwent PKP at our hospital, 40 had conditions associated with spinal canal encroachment, and were enrolled in the study. Detailed physical, neurological, and radiological examinations were performed on each patient before and after surgery and at the followup. A visual analog scale and the Oswestry Disability Index were used for the clinical assessment. The vertebral body height, the local kyphosis, and the spinal canal width were used for the radiological evaluation. RESULTS There were 11 male and 29 female patients, with a mean age of 71±8 years. The VAS score decreased from 6.4±0.7 preoperatively to 1.6±0.7 postoperatively and to 2.3±1.5 at the last followup visit. The ODI score was 78±9.5 before surgery, declined to 24±11.3 after surgery, and was 27.6±12.5 at the last followup visit. The vertebral body height increased from 11.7±4.3 mm to 14.6±4.4 mm. The local kyphosis decreased from 15.0±10.7 degrees preoperatively to 8.5±11.3 degrees postoperatively. The spinal canal width remained stable, at 8.5±2.0 mm before PKP and 8.7±1.9 after PKP. CONCLUSIONS PKP effectively relieved back pain in OVCF patients with spinal canal encroachment. Their social function improved as well.收起

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