Evaluate The Curative Effect Of Clinical Application Percutaneous Vertebroplasty For 190 Cases

BACKGROUNDOsteoporosis,vertebral body metastatic carcinoma,hemangioma etc can lead tovertebral dent ,the decrease of spine stability ,pain and the lose of nervous function The centrum bone fracture may cause the patient to lose the ability to work and the latent movement ability . The clinical treatment generally divides into conservative and the surgery treats two big kinds. The traditional conservative method of treatment for the bed body rest, takes orally stops pain the medicine and matches belt. But the long-term bed may cause organism function losing, causes the lung open, the pneumonia, the deep vein thrombus formation and the pulmonary embolism. The massive uses stops pain the medicine to be possible to cause the medicine poisonous side effect as well as the medicine dependence. Because conservatively treats the cycle long, forward leaves behind abnormally, the ache possibly alleviates not good, some scholars attempt the use opening surgery, however regarding the old age osteoporosis compression bone fracture patient specially is the advanced age patient, the multi- partners have moderate or the specific weight osteoporosis in, is easy to appear fixedly becomes less crowded, draws out. Moreover the old age patient attacks to the general anesthesia and the surgery endures patiently the ability lowly, after in the technique, the technique is very easy to appear the illness complication, the surgery risky obvious increase . In 1997 started to use has treated the old age osteoporosis spinal column compression bone fracture after Percutancous vertebroplasty (PVP) forming technique success. This method for the micro creating surgery, the early time stops pain the effect well, after the technique under the time morning, has avoided each kind of illness complication which the old age patient long-term bed causes, also the surgery operates simply, the treatment expense is low, at present in domestic and foreign obtained the widespread application.OBJECTIVETo evaluate the curative effect of percutaneous vertebroplasty (PVP) guided by X-ray fluoroscopy in treating osteoporotic spinal compression fractures , hemangioma of vertebra and metastatic tumor. METERIALS AND METHODS190 patients with 275 diseased vertebra underwent PVP. Under the guidance of G-arm fluoroscopy, bone marrow biopsy needle was inserted percutaneously viatranspedicular way into the disease vertebra . Polymethylmethacrylate (PMMA) was then injected into the disease vertebra. Vasual analogue scale (VAS), mobility and analgesic usage were evaluate pre-operation and 3 monthes after PVP.RESULTSPVP was successful in 190 cases (275 vertebrae). VAS was tested by t at 3 monthes after PVP(p<0.05). Simultaneously, Scale of patient's mobility and scale of analgesic usage was tested by rank sum test at 3 monthes after PVP(p<0.05).CONCLUSIONSPVP is an effective mini-invasive technique for osteoporotic spinal compression fractures hemangioma of vertebra metastatic tumor.