Application of "eggshell" modified balloon technique in percutaneous kyphoplasty

SHEN Yingchao; LU wei; JIANG Xiaowei; MIAO YiMin; CHEN Jun; WANG Qiang

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Application of "eggshell" modified balloon technique in percutaneous kyphoplasty

更新时间：2023-05-22

- Application of "eggshell" modified balloon technique in percutaneous kyphoplasty
- null Issue 9, Pages: 735(2019)
- 作者机构：
  
  南京中医药大学附属常熟医院骨科，江苏常熟,215500
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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SHEN Yingchao, LU wei, JIANG Xiaowei, et al. Application of "eggshell" modified balloon technique in percutaneous kyphoplasty. [J]. null (9):735(2019)
DOI：

SHEN Yingchao, LU wei, JIANG Xiaowei, et al. Application of "eggshell" modified balloon technique in percutaneous kyphoplasty. [J]. null (9):735(2019) DOI：

摘要

目的在经典的经皮椎体后凸成形术中运用“蛋壳”优化球囊成形技术，观察临床和影像学各类指标

探索新术式的疗效。方法选取2018年8月至2019年1月在常熟市中医院骨科就诊的骨质疏松性胸腰椎骨折病例48例，按手术方法的不同将其分为观察组和对照组。观察组24例在经皮椎体后凸成形术中运用“蛋壳”优化球囊成形技术；对照组24例采用经典的经皮椎体后凸成形术治疗。采用疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)和影像学Genant′s半定量法判断椎体的畸形程度和骨水泥渗透率。结果 2组患者术前、术后2 d及术后3个月末VAS和ODI评分比较差异无统计学意义（P>0.05）；观察组患者骨水泥渗漏率为12.5%

对照组患者骨水泥渗漏率为25%，2组比较差异具有统计学意义（P<0.05）；观察组患者Genant′s半定量法术后Ⅰ度占82%，对照组Ⅰ度占75%，2组比较差异具有统计学意义（P<0.05）。结论在经皮椎体后凸成形术中运用“蛋壳”优化球囊成形技术治疗骨质疏松性胸腰椎骨折临床疗效满意，是一种较为理想的治疗方法。

Abstract

Objective In the classic percutaneous kyphoplasty

the "eggshell" technique was used to optimize balloon formation

and various clinical and imaging indicators were observed to explore the efficacy of the new method. Methods From August 2018 to January 2019

48 cases of osteoporotic thoracolumbar vertebral fractures treated in our department were observed.According to the different surgical methods

they were divided into the observation group and the control group.In the observation group (24 cases)

"eggshell" technique was used to optimize balloon formation during percutaneous kyphoplasty.In the control group(24 patients) were treated with the classic percutaneous kyphoplasty.Visual analogue scale score of pain(VAS)

Oswestry disability index(ODI) and imaging Genant′s semiquantitative method were used to determine the degree of vertebral deformity and bone cement permeability.Results There was no significant difference in VAS and ODI scores between the two groups(P>0.05).The bone cement leakage rate in the observation group was 12.5%

while it was 25% in the observation group

and the difference was statistically significant(P<0.05).In the observation group

the percentage of degree Ⅰ after Genant′s semiquantitative spell was 82%

and it was 75% in the control group

with statistically significant difference (P<0.05).Conclusion In percutaneous kyphoplasty

"eggshell" optimized balloon shaping technique is used to treat osteoporotic thoracolumbar vertebral fracture

and the clinical effect is satisfactory

which is an ideal treatment method.

关键词

“蛋壳”技术经皮椎体后凸成形术骨质疏松胸腰椎骨折

Keywords

"eggshell" technologypercutaneous kyphoplastyosteoporosisthoracolumbar fractures

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