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Clinical Evaluation Of C-arm-Guided PVP Treatment Of Osteoporotic Thoracolumbar Vertebral Compression Fractures

Posted on:2011-07-08Degree:MasterType:Thesis
Country:ChinaCandidate:Y B ZhangFull Text:PDF
GTID:2154330332474432Subject:Orthopedics scientific
Abstract/Summary:PDF Full Text Request
Objective:To evaluate the clinical efficacy of C-arm-guided percutaneous vertebroplasty treatment of osteoporotic thoracolumbar vertebral compression fractures, explore the factors influencing the prognosis, provide a theoretical basis for clinical application, to find more effective treatment programs. Methods:Analyze the datas of 32 osteoporotic vertebral compression fractures patients treated by percutaneous vertebroplasy in Shandong University of Traditional Chinese Medicine Affiliated Hospital over the past five years, all of them had complete followed-up datas. Evaluate the treatment efficacy and analyze the factors that maybe affect the surgery effect according to the preoperative,1 week postoperative and the late follow-up results, Results:After 6 months to 42 months (average 22.4±3.7 months) follow-up to all the patients,2 of them got out of bed and did exercise 6-24 hours after PVP, and 30 after 48 hours.32 cases got pain eased significantly (VAS scores improved obviously), without Surgery-related complications.The injured vertebral body height recovered somewhat and maintained well, without significant further compression. The recovery situation of Cobb angle and the vertebral body anterior height was better than preoperation, P<0.05, there is statistical significance. The effect of surgery should be affirmed. Conclusion:Percutaneous vertebroplasty is able to ease pain quickly, improve spinal stability, improve patient's mobility, significantly reduce bedridden time and the complications due to long-term bedridden, the effect is exact. PVP is a safe, simple, reliable, practicable and less trauma treatment of osteoporotic vertebral compression fractures, considered for clinical.
Keywords/Search Tags:percutaneous vertebroplasty, osteoporotic, thoracolumbar vertebral, compression fractures, clinical evaluation
PDF Full Text Request
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