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首页> 外文期刊>Open Journal of Urology >Minimally Invasive Open Reduction and Internal Fixation for Osteoporotic Vertebral Compression Fractures: Technical Report and Mid-Term Outcomes
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Minimally Invasive Open Reduction and Internal Fixation for Osteoporotic Vertebral Compression Fractures: Technical Report and Mid-Term Outcomes

机译：骨质疏松性椎体压缩性骨折的微创开放复位和内固定术：技术报告和中期结果

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Background: Traditional open instrumentation may cause surgical complications due to fragile bones and induce medical comorbidities in senile patients. Vertebroplasty and kyphoplasty are palliative augmentation procedures that have been associated with increased risks of cement leakage, adjacent fractures and non-union. Objective: The aim of this study was to describe a novel approach for the union of osteoporotic vertebral compression fractures with minimally invasive open reduction and internal fixation. Patients and Methods: Seven consecutive patients with intractable back pain without neurological deficits due to osteoporotic vertebral compression fractures were treated using minimally invasive fixation with intra-vertebral expandable pillars and artificial bone substitute. The clinical symptoms and image findings were recorded. Results: All of the patients reported relief of back pain, and the height of the vertebral bodies was well restored. X-ray findings obtained 2 to 4 years after the procedures showed fracture healing and favorable formation of the callus confirmed in the anterior longitudinal ligament. Conclusion: This mini-open procedure with intravertebral devices is an effective and reliable technique for osteoporotic vertebral compression fractures and may avoid complications related to traditional open spinal instrumentation procedures and augmentation with bone cement.
机译：背景：传统的开放式器械可能会因骨骼脆弱而引起外科手术并发症，并在老年患者中引起医疗合并症。椎体成形术和后凸成形术是姑息性隆突手术，与水泥渗漏，邻近骨折和不愈合的风险增加有关。目的：本研究的目的是描述一种采用微创切开复位内固定术治疗骨质疏松性椎体压缩性骨折的新方法。患者和方法：连续7例因骨质疏松性椎体压缩性骨折而导致的顽固性背痛而无神经功能缺损的患者，均采用微创固定椎体内可膨胀支柱和人工骨替代物进行治疗。记录临床症状和影像学发现。结果：所有患者均报告背部疼痛缓解，椎体高度得到良好恢复。手术后2至4年获得的X射线检查结果表明骨折愈合并在前纵韧带中证实了愈伤组织的良好形成。结论：这种带椎内器械的微型开放手术是治疗骨质疏松性椎体压缩性骨折的有效且可靠的技术，并且可以避免与传统的开放式脊柱器械手术和骨水泥填充术相关的并发症。

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