后凸成型术技术现状与进展(中文)-课件.ppt

1、Riggs et al.Bone 1995Nevitt et al.Ann Int Med 1998Ray et al.J Bone Min Res 1997505560657075808590950 1 2 3 40 1 2 3 40 1 2 3 4经济状况身体功能症状平均 OPAQ 评分All decreases in scores statistically significant at p0.001From 0 to 1 fracture,all p-values 0.05Silverman Arth Rheum 2002骨折导致死亡的危险性无症状椎体骨折髋部骨折脊柱骨折前臂骨折其它

2、*p=0.02 vs.patients w/no prevalent vertebral fractures(12-fold increased risk)患者百分比患者百分比(%)椎体骨折数目椎体骨折数目*20%骨折女性骨折女性1年之内再发生骨折年之内再发生骨折骨折的危险性根据骨折发生率相关骨折的危险性根据骨折发生率相关Ledlie et al.J Neurosurg(Spine)2003Ledlie et al.J Neurosurg(Spine)2003Ledlie et al.J Neurosurg(Spine)2003Dudeney et al.Kypholasty for Myel

3、omatus Compression Fractures J Clinical Oncology 20(2002)2382Dudeney et al.J Clin Onc 2002p 0.01 pre vs.post(7 months)Fourney et al.J Neurosurg(Spine)2003Courtesy Dr.Maestreati,Fribourg,Switzerland术前侧位 X-ray 术前侧位 CTCourtesy of Dr.Maestreati,Fribourg,Switzerland球囊位置 2-3 mmunderfx line球囊撑开侧位球囊撑开正位充填材料

4、Courtesy of Dr.Maestreati,Fribourg,Switzerland术前侧位Pre-op lateral 术后侧位术后正位Courtesy of Dr.Maestreati,Fribourg,Switzerland术前侧位 术后侧位 术后正位Courtesy of Dr.Maestreati,Fribourg,SwitzerlandCourtesy Dr.Francaviglia,Caltanissetta,Italy术前侧位术后侧位Courtesy Dr.Francaviglia,Caltanissetta,Italy术前侧位术后侧位Courtesy Dr.Eidelson,Boca Raton,Florida