椎体成形术和后凸成形术:适应症和结果,来自塞内加尔范恩国立大学神经外科的初步经验

El Hadj cheikh Ndiaye Sy, Celebre Mualaba, Amidou Adjamou, Maguette Mbaye, Mbaye Thioub, Momar Code Ba
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摘要

椎体成形术和后凸成形术是经皮技术,包括将丙烯酸水泥注射到病理椎体中。本工作旨在报告范氏神经外科通过椎体成形术和后凸成形术治疗某些脊柱病变的经验。方法:在2019年7月1日至2022年7月31日的3年时间里,我们进行了一项回顾性、描述性和分析性研究,包括因背腰椎病理接受椎体成形术或后凸成形术的患者。结果:本组13例患者平均年龄51.61岁。62%的患者为女性(n = 8)。6例患者为自发性发病。视觉模拟评分≥8分9例(69.23%)。经临床检查,所有患者均无神经功能障碍。84.61%的患者行CT扫描(n = 11)。以腰背铰链为主,占53.85%。7例患者椎体受压在25%至。平均后凸度为8˚,7例患者后凸度≥10˚。肿瘤病因占46.15%。61.53% (n = 9)的患者行后凸成形术,38.47% (n = 4)的患者行椎体成形术。2例后凸成形术伴活检,1例伴骨融合术。椎体成形术总是与活组织检查相关。进化是有利的,疼痛和椎体后凸显著减少。治疗3个月后,平均VAS评分从8.15降至0.69,平均后凸度从8˚降至2˚。结论:后凸成形术和椎体成形术作为经皮技术可以巩固椎体和减轻疼痛。单纯后凸成形术不仅能减轻疼痛,还能恢复被压实的椎体的高度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vertebroplasty and Kyphoplasty: Indications and Results, a Preliminary Senegalese Experience from the Neurosurgery Department of the CHNU of Fann
Introduction: Vertebroplasty and kyphoplasty are percutaneous techniques that consist in injecting an acrylic cement into the body of a pathological vertebra. This work aims to report the experience the of Fann’s neurosurgery department in treating certain spinal pathologies by vertebroplasty and kyphoplasty. Methods: During a 3-year period from July 1, 2019 to July 31, 2022, we conducted a retrospective, descriptive and analytical study, including patients who underwent vertebroplasty or kyphoplasty for dorsolumbar spinal pathology. Results: The mean age of the 13 patients in our study was 51.61 years. Female gender was predominant in 62% (n = 8). The context of spontaneous onset was found in six patients. Nine patients had a VAS (visual analogue scale) ≥ 8 (69.23%). On clinical examination, all patients had a syndrome without neurological deficits. 84.61% of patients had a CT scan (n = 11). The dorsolumbar hinge was most affected with 53.85% of cases. Seven patients had a vertebral compression of between 25% and. The average degree of kyphosis was 8˚ and seven patients had a degree of kyphosis ≥ 10˚. Tumour aetiology accounted for 46.15% of cases. Kyphoplasty was performed in 61.53% (n = 9) of the cases and vertebroplasty was performed in 38.47% (n = 4) of the patients. Kyphoplasty was associated with biopsy in two cases and with osteosynthesis in one patient. Vertebroplasty was always associated with a biopsy. The evolution was favourable with a significant reduction in pain and vertebral kyphosis. The mean VAS decreased from 8.15 to 0.69 three months after treatment and the mean kyphosis decreased from 8˚ to 2˚. Conclusion: Kyphoplasty and vertebroplasty as percutaneous techniques allow consolidation of the vertebral body and pain relief. Kyphoplasty alone not only reduces pain but also restores the height of the compacted vertebral body.
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