摘要
椎体强化术包括椎体成形术和椎体后凸成形术,是治疗骨质疏松性椎体压缩骨折的经典方法 ,在临床中被广泛应用。但部分患者术后仍伴有不同程度的残余腰背痛,使患者延迟卧床时间,增加相关并发症风险,降低手术满意度及对医生信任度。然而,椎体强化术术后残余腰背痛确切原因及对策目前尚无统一定论。因此,本综述从骨质疏松、软组织损伤、腰椎退变、矢状面失衡和椎体再发骨折等方面对椎体强化术术后残余腰背痛的影响因素及防治措施进行探讨,有助于预防和治疗此类疾病。
Percutaneous vertebral augmentation,including vertebroplasty and kyphoplasty,is a classic method for the treatment of osteoporotic vertebral compression fractures and is widely used in clinical practice.However,some patients are still accompanied with varying degrees of residual low back pain,resulting in delayed bed rest,increased risk of complications,reduced surgical satisfaction and trust in doctors.However,the exact causes and countermeasures of residual low back pain after percutaneous vertebral augmentation have not been conclusive.Therefore,the review will explore the influencing factors and preventive measures of residual low back pain after percutaneous vertebral augmentation in the aspects of osteoporosis,soft tissue injury,lumbar degeneration,sagittal imbalance and vertebral recurrence fracture.It can contribute to the prevention and treatment of such diseases.
作者
田保磊
姚啸生
戚晓楠
智猛
王国威
TIAN Baolei;YAO Xiaosheng;QI Xiaonan;ZHI Meng;WANG Guowei(College of Graduate,Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang110000,China;the First Department of Bone,the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang110000,China;不详)
出处
《中国医药导报》
CAS
2019年第32期27-29,46,共4页
China Medical Herald
基金
国家重点研发计划中医药现代化研究重点专项（2018YFC1704301）
关键词
残余腰背痛
骨质疏松
软组织损伤
椎体再发骨折
Residual low back pain
Osteoporosis
Soft tissue injury
Vertebral fracture
