| 夹心椎体小剂量骨水泥预防性强化治疗“三明治”型骨质疏松性椎体压缩骨折的临床分析 |
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| 引用本文： | 李晓华,佘丽君,范金鹏,王喜,刘永强,齐燕,郝志鹏.夹心椎体小剂量骨水泥预防性强化治疗“三明治”型骨质疏松性椎体压缩骨折的临床分析[J].蚌埠医学院学报,2021,46(10):1435-1439. |
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| 作者姓名： | 李晓华 佘丽君 范金鹏 王喜 刘永强 齐燕 郝志鹏 |
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| 作者单位： | 1.河北省石家庄市第一医院 骨科, 0500112.河北省石家庄市第五医院 结核二科, 0500243.河北医科大学第一医院 骨科, 河北 石家庄 050030 |
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| 基金项目： | 河北省重点研发计划项目172777228 |
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| 摘 要： | 目的探讨“三明治”型骨质疏松性椎体压缩骨折（OVCF）行椎体后凸成形术时对夹心椎体进行小剂量骨水泥预防性强化的必要性。方法选择“三明治”型OVCF行椎体后凸成形术治疗的病人58例，其中观察组29例在常规行骨折椎体后凸成形术基础上进行夹心椎体小剂量骨水泥（约2 mL）预防性强化，对照组29例未行夹心椎体强化，随访观察夹心椎体骨折情况。结果2组术前骨密度、年龄、体质量指数方面差异无统计学意义（P>0.05）；观察组中有1例（3.45%）骨折发生，B组中有8例（27.59%）发生骨折，2组术后骨折率差异有统计学意义（χ2=4.73，P < 0.05）。结论在常规对“三明治”型OVCF行椎体后凸成形术时，行夹心椎体小剂量骨水泥预防性强化能降低术后夹心椎体骨折风险。
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| 关 键 词： | 椎体压缩骨折 骨质疏松 椎体后凸成形术 夹心椎体 预防性强化 |
| 收稿时间： | 2019-10-13 |
Clinical analysis of small-dose bone cement prophylactic strengthening of sandwich vertebra in the treatment of"sandwich"osteoporotic vertebral compression fracture |
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| LI Xiao-hua,SHE Li-jun,FAN Jin-peng,WANG Xi,LIU Yong-qiang,QI Yan,HAO Zhi-peng.Clinical analysis of small-dose bone cement prophylactic strengthening of sandwich vertebra in the treatment of"sandwich"osteoporotic vertebral compression fracture[J].Journal of Bengbu Medical College,2021,46(10):1435-1439. |
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| Authors: | LI Xiao-hua SHE Li-jun FAN Jin-peng WANG Xi LIU Yong-qiang QI Yan HAO Zhi-peng |
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| Affiliation: | 1.Department of Orthopaedics, The First Hospital of Shijiazhuang, Shijiazhuang Hebei 0500112.Department of Tuberculosis, The Fifth Hospital of Shijiazhuang, Shijiazhuang Hebei 0500243.Department of Orthopaedics, The First Hospital of Hebei Medical University, Shijiazhuang Hebei 050030, China |
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| Abstract: | ObjectiveTo investigate the necessities of the small-dose bone cement prophylactic strengthening of sandwich vertebra in the treatment of "sandwich" osteoporotic vertebral compression fracture during percutaneous kyphoplasty.MethodsA total of 50 "sandwich" osteoporotic vertebral compression fracture patients treated with percutaneous kyphoplasty were selected, 29 cases were treated with the small-dose bone cement prophylactic strengthening of sandwich vertebra based on the conventional percutaneous kyphoplasty(observation group) and 20 cases were treated without sandwich vertebrula strengthening(control group).The incidence of sandwich vertebral fractures was followed up.ResultsThe differences of the preoperative bone mineral density, age and body mass index were not statistically significant between two groups(P>0.05).One case with fracture in the observation group and 8 cases with fractures in the control group were identified, and the difference of postoperative fracture rate between two groups was statistically significant(χ2=4.73, P < 0.05).ConclusionsIn the conventional percutaneous kyphoplasty of "sandwich" osteoporotic vertebral compression fracture, the small-dose bone cement prophylactic strengthening of sandwich vertebra can reduce the risk of postoperative sandwich vertebral fractures. |
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