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| CHEN Shulian,LU Yifeng,WANG Zhen.Unilateral extrapedicular vertebroplasty and kyphoplasty in the treatment of upper and mid-thoracic vertebral compression fracture[J].Chinese Journal of Spine and Spinal Cord,2011,(11):905-909. |
| Unilateral extrapedicular vertebroplasty and kyphoplasty in the treatment of upper and mid-thoracic vertebral compression fracture |
| Received:April 27, 2011 Revised:July 07, 2011 |
| English Keywords:Ｔhoracic vertebral fracture Ｕni-extrapedicular approach PVP PKP |
| Fund:基金项目：人事部留学人员科技项目择优资助经费；河南省医学科学院创新人才工程资助项目和医学科技重大公关资助项目（2002305）。河南省医学科技重点攻关项目（200702011）. |
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| English Abstract: |
| 【Abstract】 Objective：To evaluate the characteristics and effects of unilateral extrapedicular vertebroplasty and kyphoplasty in the treatment of upper and mid-thoracic vertebral fractures.Methods：Retrospective analysis ｏｆ 39 vertebrae in 26 patients（M:F=8:18）who underwent unilateral extrapedicular vertebroplasty and kyphoplasty for osteoporotic vertebral compression fractures at upper and mid-thoracic vertebra between November 2004 ａｎｄ March 2010 in our hospital.The fracture vertebras is T3 1，Ｔ４ ３，Ｔ５ ４，Ｔ６ ４，Ｔ７ ６，Ｔ８ １０，Ｔ９ ６，Ｔ１０ ５.The mean age was 71.3±1.3 years.The average time of fracture was 3.5 weeks.One level was 17 cases，two levels were 5 cases and three levels were 4 cases.Clinical outcｏmes wｅｒｅ evaluated using VAS．Ｔhe rate of loss anterior and middle heights of the vertebral body，the rate of cement leakage and the rate of suitable puncture before and after operation ｗｅｒｅ ｅｖａｌｕａｔｅｄ.Results：Twenty-seven levels were treated in 15 cases with PVP，and twelve levels were treated in 11 cases with PKP..The rate of cement leakage was 10.25%.All patients were followed up over 1 year.The VAS ｓｃｏｒｅｓ were ９.８±0．３ preoperatiｖｅly and ５．７±0.4 ｏｆ １ ｄａｙ ａｎｄ 3．3±0.4 ｏｆ ｆｉｎａｌ ｆｏｌｌｏｗ－ｕｐ postoperatiｖｅly（P<0.0５）.The anterior and middle vertebral height restoration were 63.1±18.6% and 68.5±25.3% respectively（P＜０．０５）.Conlusions：Unilateral extrapedicular vertebroplasty and kyphoplasty were safety in the treatment of upper and mid-thoracic vertebral compression fractures.The osteous track should be measured on three-dimensional CT images before PVP and PKP. |
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