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Percutaneous Kyphoplasty In Treatment Of Osteoporosis Vertebral Body Compression Fractures

Posted on:2014-05-03Degree:MasterType:Thesis
Country:ChinaCandidate:E K S E J SaiFull Text:PDF
GTID:2254330401480188Subject:Surgery
Abstract/Summary:PDF Full Text Request
Objective:Osteoporosis is reduced with bone quantity, bone of show microstructuraldamaged, the bone substance becomes thin, the bone small beam amount reduces for thecharacteristic gradually of, severity can because of bone of brittleness increment but causethe dangerous degree of bone fracture heat up of a kind of whole body the skeletonmetabolize obstacle disease.The main performance is:The bone quantity reduces, bone oftiny view structure change, bone of the strength descend, brittleness increment, hard theloading carried at first.Compress bone fracture in the Osteoporosis vertebral body in, chestwaist the vertebral body compressibility bone fracture of the vertebral is the mostfamiliar.Cause along with the age reasons, such as growth and outdoor gamesdecrease...etc. Osteoporosis vertebral body compress the outbreak rate of bone fractureto present up-trend and usually result in vertebral body the compression transform andmake after the vertebrate convex abnormal, see more by low back pains.Formely to thesufferer of this bone fracture tradition the top adopted a conservative treatment and openeda surgical operation treatment.The conservative treatment is to lie a bed to rest andrecuperate and take orally to live blood painful medicine, wear to pay, usually need to becounted for thoughtful few months, lie a bed over a long period of time thus the old peopleusually induct whole body the disease and complications of other systems, because theactivity is subjected to a limit and aggravates the loose degree of bone substance further, itgives life to bring biggest inconvenient.But surgical operation treatment then the backroute vertebral body bow root bolt fixed percutaneous kyphoplasty, surgical operationalthough the effect that can push open to reset vertebral body and attain orthopedics, thiskind of sufferer usually because the age is greatly partial to, bone soft severity, veryunbearable be subjected to open sex of surgical operation;Inside fixedly very difficultstabilize for a long time, the bolt controls dint weaker, have to again take out nail, theeffect is worse.And this kind of surgical operation wound is more big, advanced agesufferer’s resuming slowly and after the percutaneous kyphoplasty complications is also many.Therefore, is tiny to create surgical operation have already become the head thatcures this kind of bone fracture to choose a method.The ball bag extends vertebral body totake shape percutaneous kyphoplasty(percutaneous kyphoplasty, PKP) currently, theapplication in clinical top, can raise the safe and dependable of surgical operation,decrease complications, the curative effect is accurate, become tiny one new technique ofrealm for creating spinal column surgery.This research passes an investigation PKP curesby my section adoption of Osteoporosis the spinal column compress the bone fracturesufferer’s safe usefulness.Methods: The review analyzes to adopt old-age sexOsteoporosis spinal column cured by PKP compression bone fracture is sufferer’s1520vertebral bodies, the age is on the average68.3years old.After operation observationimprovement and bone fracture of symptom resets a circumstance.Results:All the safetyof all sufferers bears to be subjected to surgical operation, the surgical operation allcompletes smoothly, percutaneous kyphoplasty small of the back carry ache symptom onpercutaneous kyphoplasty small of the back’s back all and obviously and slowlyreduce.The VAS grade point is8.1±before the percutaneous kyphoplasty1.3, thepercutaneous kyphoplasty is behind is2.9±0.9, the end time is2.8±with the VAS gradepoint visiting1.2.Bone fracture vertebral body of before PKP front the good luck is on theaverage highly20.3±6.1mm,PKP behind is26.8±7.3mm, end time with visit vertebralbody before the body the good luck is highly25.9±7.1mm.vertebral body before thePKP the central part is highly22.7±6.3mm, PKP behind is27.3±6.9mm, end time withvisit vertebral body central part on the average high is27.1±6.4mm.Department after thevertebral body the height is increased into after the PKP30.6±4.3mm and the end timeby the28.1±5.2mm before the PKP to visit of29.7±4.1mm.Empress convex abnormalCobb Cape from20.6±6.5°before the PKP Correct into8.6±5.0°of PKP empress Andend time with visit of9.7±7.1°.All sufferers all didn’t see bone cement leaking,infection, clots etc. serious complications.Conclusion:Extend vertebral body to takeshape the PKP treatment bone soft vertebral body through the ball bag body compressionbone fracture can quickly alleviate ache and resume the vertebral body of disease height,reduce spinal column abnormal to combine to improve function, is a kind of opposite butspeech the wound is smaller, safety credibility, accurate curative effect tiny create atechnique.
Keywords/Search Tags:Percutaneous kyphoplasty, Osteoporotic, Vertebral body compression fracture
PDF Full Text Request
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