[1]田庆华,卢莹莹,宋红梅,等.经皮骨水泥融合术治疗强直性脊柱炎伴假关节形成的邻近椎体应力骨折4例 [J].介入放射学杂志,2017,(06):551-554.
 TIAN Qinghua,LU Yingying,SONG Hongmei,et al.Percutaneous bone cement fusion for the stress fracture of vertebral body adjacent to pseudoarthrosis in patients with ankylosing spondylitis: preliminary results in 4 cases[J].journal interventional radiology,2017,(06):551-554.
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经皮骨水泥融合术治疗强直性脊柱炎伴假关节形成的邻近椎体应力骨折4例



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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年06期
页码:
551-554
栏目:
临床研究
出版日期:
2017-06-25

文章信息/Info

Title:
Percutaneous bone cement fusion for the stress fracture of vertebral body adjacent to pseudoarthrosis in patients with ankylosing spondylitis: preliminary results in 4 cases
作者:
田庆华 卢莹莹 宋红梅 王 涛 吴春根 程英升
Author(s):
TIAN Qinghua LU Yingying SONG Hongmei WANG Tao WU Chungen CHENG Yingsheng
Department of Interventional Radiology, Affiliated Sixth People’s Hospital East Campus, Shanghai Jiaotong University, Shanghai 201306, China
关键词:
【关键词】 经皮骨水泥融合术 强直性脊柱炎 应力骨折 假关节
文献标志码:
A
摘要:
【摘要】 目的 探讨经皮骨水泥融合术治疗强直性脊柱炎伴假关节形成的邻近椎体应力骨折的必要性及临床应用。方法 回顾性分析4例经皮骨水泥融合术治疗强直性脊柱炎伴假关节形成的邻近椎体应力骨折的患者,通过经皮骨水泥注射术共实施4个节段骨水泥融合。通过比较患者术前及术后疼痛视觉模拟评分(VAS)及Oswesty功能障碍指数(ODI)评分的变化来评价疼痛、日常运动功能状况的改善。结果 上述4例患者均获得手术成功,平均每个节段注入骨水泥约14.5 ml,1例发生少量骨水泥外渗,但无严重的临床并发症。术后VAS由术前平均9分,降至术后平均3.5分;ODI指数由术前平均43.8分降至术后平均14.5分,疼痛状况及日常运动功能明显改善。结论 经皮骨水泥融合术治疗强直性脊柱炎伴假关节形成的邻近椎体应力骨折是一种微创、安全、有效的方法。

参考文献/References:

[1] Kim HS, Ju CI, Kim SW. Bilateral pedicle stress fracture accompanying spondylolysis in a patient with ankylosing spondylitis[J]. J Korean Neurosurg Soc, 2010, 48: 70- 72.
[2] 杨 弋, 陈 雪, 司奎英, 等. 强直性脊柱炎的研究进展[J]. 中国中医药, 2011, 24: 161- 169.
[3] Westerveld LA, Verlaan JJ, Oner FC. Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications[J]. Eur Spine J, 2009, 18: 145- 156.
[4] Caron T, Bransford R, Nguyen Q, et al. Spine fractures in patients with ankylosing spinal disorders[J]. Spine(Phila Pa 1976), 2010, 35: E458- E464.
[5] Lu ML, Tsai TT, Lai PL, et al. A retrospective study of treating thoracolumbar spine fractures in ankylosing spondylitis[J]. Eur J Orthop Surg Traumatol, 2014, 24: S117- S123.
[6] 程大文, 高 玲, 沈广澍, 等. C臂CT在经皮椎体成形术治疗骨质疏松性椎体压缩骨折中的临床应用[J]. 介入放射学杂志, 2014, 23: 1005- 1009.
[7] 徐云华, 倪才方, 陈 珑, 等. 经皮椎体成形术治疗不同类型疼痛性脊柱转移癌[J]. 介入放射学杂志, 2014, 23: 122- 125.
[8] 何永福, 吴春根, 顾一峰, 等. 经皮骨水泥融合术治疗强直性脊柱炎性脊柱假关节一例[J]. 介入放射学杂志, 2010, 19: 851- 852.
[9] 陈 磊, 荆珏华, 田大胜, 等. PKP 治疗强直性脊柱炎患者的 A 型胸腰椎骨折一例[J]. 中国骨与关节杂志, 2016, 5: 395- 396.
[10] 马永红, 何仕诚, 滕皋军, 等. 椎体成形术治疗骨质疏松性椎体压缩骨折的生命质量评价[J]. 介入放射学杂志, 2007, 16: 326- 329.
[11] 何仕诚, 滕皋军, 方 文, 等. 经皮椎体成形术治疗骨质疏松椎体压缩骨折的综合疗效评价[J]. 临床放射学杂志, 2010, 29: 1529- 1534.
[12] Qian BP, Jiang J, Qiu Y, et al. The presence of a negative sacral slope in patients with ankylosing spondylitis with severe thoracolumbar kyphosis[J]. J Bone Joint Surg Am, 2014, 96: e188.
[13] 王 岩, 毛克亚, 张永刚, 等. 双椎体截骨术矫正重度强直性脊柱炎后凸畸形[J]. 中国脊柱脊髓杂志, 2009, 19: 108- 112.
[14] Qian BP, Wang XH, Qiu Y, et al. The influence of closingopening wedge osteotomy on sagittal balance in thoracolumbar kyphosis secondary to ankylosing spondylitis: a comparison with closing wedge osteotomy[J]. Spine (Phila Pa 1976), 2012, 37: 1415- 1423.
[15] 钱邦平, 曲哲学, 邱 勇, 等. 强直性脊柱炎患者颈椎新鲜骨折的临床特征及术式选择[J]. 中国脊柱脊髓杂志, 2015, 25: 787- 792.
[16] Rosenbaum J, Chandran V. Management of comorbidities in ankylosing spondylitis[J]. Am J Med Sci, 2012, 343: 364- 366.
[17] Wade W, Saltzstein R, Maiman D. Spinal fractures complicating ankylosing spondylitis[J]. Arch Phys Med Rehabil, 1989, 70: 398- 401.
[18] Feldtkeller E, Vosse D, Geusens P, et al. Prevalence andannual incidence of vertebral fractures in patients with ankylosing spondylitis[J]. Rheumatol Int, 2006, 26: 234- 239.
[19] Graham B, Van Peteghem PK. Fractures of the spine in ankylosing spondylitis: diagnosis, treatment, and complications[J]. Spine (Phila Pa 1976), 1989, 14: 803- 807.
[20] 钱邦平, 邱 勇, 王 斌, 等. 强直性脊柱炎患者胸腰椎应力骨折的临床及影像学特点[J]. 中国脊柱脊髓杂志, 2008, 18: 747- 751.
[21] Qian BP, Qiu Y, Wang B, et al. Pedicle subtraction osteotomy through pseudarthrosis to correct thoracolumbar kyphotic deformity in advanced ankylosing spondylitis[J]. Eur Spine J, 2012, 21: 711- 718.

备注/Memo

备注/Memo:
(收稿日期:2016-07-10)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2017-06-13