椎体扩张器、Kyphon球囊和Sky骨膨胀器三种后凸成形术的临床应用比较研究

被引：22

作者：

杨升全 ^{[1
]}

金正帅 ^{[1
]}

张宁 ^{[1
]}

殷国勇 ^{[1
]}

徐杰 ^{[2
]}

孙强 ^{[2
]}

郑召民 ^{[3
]}

吴乃庆 ^{[1
]}

机构：

[1] 南京医科大学第一附属医院骨科

[2] 南京医科大学附属南京第一医院骨科

[3] 中山大学附属第一医院脊柱外科

来源：

南京医科大学学报(自然科学版) | 2011年 / 31卷 / 02期

关键词：

椎体骨折; 后凸成形术; 椎体扩张器; Kyphon球囊; Sky骨膨胀器;

D O I：

暂无

中图分类号：

R687.3 [骨骼手术];

学科分类号：

100220 [骨科学];

摘要：

目的:比较椎体扩张器、Kyphon球囊和Sky骨膨胀器后凸成形术的临床应用结果及优缺点。方法:回顾性研究2006年10月至2010年2月,分别对71例71椎、55例55椎和22例22椎骨质疏松脊柱压缩骨折患者行椎体扩张器后凸成形术(dilator-kyphoplasty,DKP)、Kyphon球囊后凸成形术(balloon-kyphoplasty,BKP)和Sky骨膨胀器后凸成形术(Sky-bone expanderkyphoplasty,EKP)。记录手术时间、术中出血量、骨水泥注射量,观察手术前后疼痛视觉模拟评分(visual analogue scale,VAS)和Oswestry功能障碍指数(oswestry disability index,ODI)评分情况,测量病椎的高度和Cobb角改变。结果:3组手术时间、出血量相比,差异无统计学意义,骨水泥注入量EKP组与其他组比较有显著差异。3组术后椎体高度和后凸Cobb角、VAS评分、ODI评分均较术前明显改善。DKP组椎体高度和后凸Cobb角恢复较其他组显著。骨水泥渗漏:DKP组2例少量渗入椎体侧方,BKP组4例,EKP组9例,均无临床症状。结论:DKP、BKP和EKP治疗疼痛性骨质疏松椎体压缩骨折均有良好的临床疗效。DKP、BKP和EKP均可有效恢复椎体高度和Cobb角,改善患者疼痛状况和生活功能,但是DKP在扩张的可操作性和安全性上,在恢复椎体高度和矫正后凸Cobb角上更显著。DKP在病椎体内平行撑开复位,骨水泥团状初期注入,其渗漏率较BKP和EKP低。

引用

页码：250 / 255

页数：6

共 12 条

[1]

Balloon kyphoplasty versus vertebroplasty for treatment of osteoporotic vertebral compression fracture: a prospective, comparative, and randomized clinical study [J].

Liu, J. T. ;

Liao, W. J. ;

Tan, W. C. ;

Lee, J. K. ;

Liu, C. H. ;

Chen, Y. H. ;

Lin, T. B. .

OSTEOPOROSIS INTERNATIONAL, 2010, 21 (02) :359-364

[2]

Vertebroplasty and kyphoplasty: A comparative review of efficacy and adverse events [J].

McCall T. ;

Cole C. ;

Dailey A. .

Current Reviews in Musculoskeletal Medicine, 2008, 1 (1) :17-23

[3]

Results, experience and technical points learnt with use of the SKy Bone Expander kyphoplasty system for osteoporotic vertebral compression fractures: A prospective study of 40 patients with a minimum of 12 months of follow-up [J].

Foo, Leon Siang Shen ;

Yeo, William ;

Fook, Stephanie ;

Guo, Chang Ming ;

Chen, John Li Tat ;

Yue, Wai Mun ;

Tan, Seang Beng .

EUROPEAN SPINE JOURNAL, 2007, 16 (11) :1944-1950

[4]

Balloon kyphoplasty and vertebroplasty for vertebral compression fractures - A comparative systematic review of efficacy and safety [J].

Taylor, Rod S. ;

Taylor, Rebecca J. ;

Fritzell, Peter .

SPINE, 2006, 31 (23) :2747-2755

[5]

Balloon kyphoplasty for symptomatic vertebral body compression fractures results in rapid, significant, and sustained improvements in back pain, function, and quality of life for elderly patients [J].

Garfin, Steven R. ;

Buckley, Rudolph A. ;

Ledlie, Jon .

SPINE, 2006, 31 (19) :2213-2220

[6]

Pain outcome and vertebral body height restoration in patients undergoing kyphoplasty [J].

Machinis, Theofilos G. ;

Fountas, Kostas N. ;

Feltes, Carlos H. ;

Johnston, Kiln W. ;

Robinson, Joe S. .

SOUTHERN MEDICAL JOURNAL, 2006, 99 (05) :457-460

[7]

Balloon kyphoplasty is effective in deformity correction of osteoporotic vertebral compression fractures [J].

Voggenreiter, G .

SPINE, 2005, 30 (24) :2806-2812

[8]

Kyphoplasty [J].

Hardouin, P ;

Fayada, P ;

Leclet, H ;

Chopin, D .

JOINT BONE SPINE, 2002, 69 (03) :256-261

[9]

Percutaneous balloon kyphoplasty for the correction of spinal deformity in painful vertebral body compression fractures [J].

Theodorou, DJ ;

Theodorou, SJ ;

Duncan, TD ;

Garfin, SR ;

Wong, WH .

CLINICAL IMAGING, 2002, 26 (01) :1-5

[10]

New Technologies in Spine: Kyphoplasty and Vertebroplasty for the Treatment of Painful Osteoporotic Compression Fractures.[J].Steven R. Garfin;Hansen A. Yuan;Mark A. Reiley.Spine.2001, 14

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