The clinical application of percutaneous puncture kyphoplasty in the treatment of vertebral compression fracture in the elderly
10.3760/cma.j.issn.1008-6706.2010.08.005
- VernacularTitle:经皮穿刺球囊扩张椎体后凸成形术治疗高龄胸腰椎压缩性骨折
- Author:
Qizhong LI
;
Chaohua YANG
;
Jiexiong OU
;
Guocong DU
;
Xingmei JI
;
Chunhai LI
- Publication Type:Journal Article
- Keywords:
Thoracic vartebrae;
Lumbar vartebrae;
Fracture compression;
Kyphoplasty percutaneous;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(8):1017-1019
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the curative effect and complications of percutaneous puncture kyphoplasty in the treatment of vertebral compression fracture in the elderly. Methods 19 cases of vertebral compression fracture in the elderly patients with disc 25 PKP technology applications were diagnosed with the accurate positioning,local anesthesia a small incision of about 0. 3cm later puncture path through vertebral pedicle to the wound vertebra,After perspective is the accurate lateral, putting into high-pressure balloon, injecting the contrast agent into the balloon with high-pressure syringe gradually. The wound vertebra is blackmai until a high degree of vertebral distraction to the recovery basis under the C-arm, and then taking the balloon out after pumping the contrast agent out. Bone cement is mixed well and injected into the cavity of the wound vertebra slowly which is the result of balloon dilation,during that time under the control of bone cement inside the wound vertebra,then puting the working column out and surgery completed. Results The low back pain of 19 patients immediately disappeared or significantly reduced after the operation, and 8 postoperative patients is up that day, 11 cases is up the following day. The degree of the wound vertebra is recovered by X-ray examination, and the bone cement evenly distributed within the wound vertebra, no spills. This group of patients are followed up for an average of 18 months(1 ～24 months) ,using visual analog and digital method to determine changes in Iow back pain. The data are paired t test,P ＜ 0.01. It have significant difference of views.Conclusion Percutaneous kyphoplasty accurate cervical disc herniation and effective disarmament of the symptoms and signs, with trauma and rapid recovery, fewer complications, shorter course of treatment and so on, and it is a safe and effective way in the treatment of vertebral compression fracture in the elderly.
