Clinical Effects of Posterior Decompression and Vertebroplasty with Short Segment Fixation and Fusion forOsteoporotic Vertebral Fractures with Spinal Cord Injury (A Report of 45 Cases)
HAO Rui-zheng, HUO Yong-xin, LU Yang, WANG Wei, WANG Hui
Abstract: Objective To evaluate the short-term effects of posterior decompression and vertebroplasty with short segment fixation and fusion in the treatment of osteoporotic vertebral fractures with spinal cord injury.Methods A retrospective analysis of 45 cases of osteoporotic vertebral fractures and spinal cord injury admitted in our department from January 2015 to January 2017 was conducted. All patients underwent posterior decompression and vertebroplasty with short segment fixation and fusion. X-ray measurements were used to detect the kyphosis angle and vertebral compression ratio. The VAS score was used to evaluate the degree of pain in patients. The JOA score was used to evaluate the lumbar function. Frankel classification criteria were used to evaluate the recovery of neurological function in patients with spinal cord injury. The incidence of complications was statistically analyzed. Results All 45 patients were followed up for an average of (9.0±2.6) months. All the operations were successfully completed without serious complications such as death or nerve injury, and the Frankel classification of spinal nerve function after operation improved in 42 cases. 3 months after operation, the Cobb angle, vertebral compression ratio and VAS scores of patients with kyphosis were significantly lower than that of the pre-operation (P<0.05), and the JOA score was significantly higher than that of the pre-operation (P<0.05). There was 1 case of incisional infection, 1 case of delayed wound healing and 1 case of cerebrospinal fluid leakage, all of which were cured by symptomatic treatments. Conclusions Posterior decompression and vertebroplasty with short segment fixation and fusion is a safe and effective surgical method for osteoporotic vertebral fractures with spinal cord injury.
郝睿峥，霍永鑫，鲁洋，王伟，王辉. 后路减压椎体成形短节段融合术治疗骨质疏松性椎体骨折伴脊髓神经损伤的疗效(附45例报道)[J]. 中国现代手术学杂志, 2018, 22(2): 137-141.
HAO Rui-zheng. Clinical Effects of Posterior Decompression and Vertebroplasty with Short Segment Fixation and Fusion forOsteoporotic Vertebral Fractures with Spinal Cord Injury (A Report of 45 Cases). Chinese Journal of Modern Operative Surgery, 2018, 22(2): 137-141.
2018, Vol. 22 
