- 期刊
經皮椎體成型術治療脊椎椎體骨質疏鬆合併壓迫性骨折
Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression fractures
摘要
骨質疏鬆症患者容易合併脊椎壓迫性骨折導致嚴重背痛，這種疼痛會沿著腹部或酶腹部分佈且有骨折處局部壓痛感，當背部移動時會疼痛加劇，脊椎旁的肌肉因而發生痙攣。在台灣每年約有6萬人，因骨質疏鬆合併脊椎體壓迫性骨折，造成疼痛導致行動困難，降低社交與職業功能。一般對於脊椎骨質疏鬆合併的壓迫性骨折治療，是以止痛藥、臥床、穿戴背架或是傳統脊椎內固定術治療，但是前三者治療方法都無法有效止痛，而傳統脊椎內固定術則工程浩大，患者往往要負擔三個月至六個月的復原期，目前在歐美等地已在廣泛施行一種新的療法，稱為椎體成型術。椎體成型術是將骨泥注入椎體內，增強脊椎穩定性，減少椎體的疼痛，這種手術傷口小可以在局部麻醉下進行且術後恢復快。在台灣各大醫院也逐漸發展這項手術，目前三軍總醫院神經外科已經治療113位患者，有效緩解疼痛改善生活品質。
並列摘要
Osteoporotic vertebral compression fractures (VCF) may lead to intractable back pain with radiation to bilateral flank and spasm of paraspinal muscle. The treatment of osteoporotic VCF including conservative treatment, open reduction with internal fixation(ORIF) and percutaneous vertebroplasty. However, conservative treatment and ORIF did not provide significant improvement in pain relief and require a long period to recover. Percutaneous vertebroplasty is a therapeutic procedure consisting of an injection of cementan into a fractured vsertebral body in an effort to relieve pain and provide mechanical stability. We present clinical experiences of 138 procedures performed on 113 patients with osteoporotic vertebral compression fractures and review the relevant literature.
被引用紀錄
延伸閱讀
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