[1]金浪,石洁,黄正,等.3D打印数字技术辅助改良交叉PVP对重度骨质疏松性椎体压缩骨折脊柱-骨盆矢状面平衡状态的影响[J].中华老年骨科与康复电子杂志,2023,(05):263-268.[doi:10.3877/cma.j.issn.2096-0263.2023.05.002]
　Jin Lang,Shi Jie,Huang Zheng,et al.3D printing digital technology assists the modified cross-PVP on the effect of spine-pelvic sagittal balance in severe osteoporotic vertebral compression fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2023,(05):263-268.[doi:10.3877/cma.j.issn.2096-0263.2023.05.002]
点击复制

3D打印数字技术辅助改良交叉PVP对重度骨质疏松性椎体压缩骨折脊柱-骨盆矢状面平衡状态的影响()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2023年05期
页码:
263-268
栏目:
脊柱专题
出版日期:
2023-10-05

文章信息/Info

Title:
3D printing digital technology assists the modified cross-PVP on the effect of spine-pelvic sagittal balance in severe osteoporotic vertebral compression fractures
作者:
金浪1; 石洁2; 黄正1; 贾永伟1; 张建坡1; 魏礼成1; 金昊雷3
200052 上海中医药大学附属光华医院脊柱外科（上海市中医药研究院中西医结合关节炎研究所）1，放射科2；200052 上海市虹口区江湾镇街道社区卫生服务中心西医全科3
Author(s):
Jin Lang1;  Shi Jie2;  Huang Zheng1;  Jia Yongwei1;  Zhang Jianpo1;  Wei Licheng1;  Jin Haolei3
1Department of Spine, 2Department of Radiology, Guanghua Hospital affiliated to Shanghai University of Traditional Chinese Medicine (Institute of Arthritis of Integrated Traditional Chinese and Western Medicine, Shanghai Academy of Traditional Chinese Medicine), Shanghai 200052, China; 3General Department of Western Medicine, Jiangwan Town Community Health Service Center, Hongkou District, Shanghai 200052, China
关键词:
3D打印;  数字技术;  经皮穿刺椎体成形术;  重度骨质疏松性椎体压缩骨折;  脊柱-骨盆矢状面平衡状态
Keywords:
3D printing;  Digital technology;  Percutaneous vertebroplasty;  Severe osteoporotic vertebral compression fracture;  Spine-pelvic sagittal balance
DOI:
10.3877/cma.j.issn.2096-0263.2023.05.002
文献标志码:
A
摘要:
【摘要】 目的 探究3D打印数字技术辅助改良交叉经皮穿刺椎体成形术（PVP）对重度骨质疏松性椎体压缩骨折（SOVCF）患者脊柱-骨盆矢状面平衡状态的影响。方法 回顾性分析2017年3月至2020年5月上海中医药大学附属光华医院收治的SOVCF患者（166例），根据治疗方案，将患者分为改良PVP组（83例）和PVP组（83例）。通过对比法分析3D打印数字技术辅助改良交叉PVP的疗效及其对患者脊柱-骨盆矢状面平衡状态的影响。结果 改良PVP组患者的手术时间、穿刺定位时间以及透视次数均较PVP组更小（P＜0.05）；改良PVP组患者的总有效概率较PVP组更大（P＜0.05）；与术前相比，两组患者术后12个月VAS评分以及ODI评分均显著减小（P＜0.05）；与术前相比，两组患者术后12个月JOA评分均显著增大（P＜0.05）；术后12个月，与PVP组相比，改良PVP组患者的TK、C7-S1SVA以及PT均更小（P＜0.05），SS更大（P＜0.05）；术后12个月，与PVP组相比，改良PVP组患者的PF、PR、GH、VT以及SF均更大（P＜0.05），BP更小（P＜0.05）；改良PVP组骨水泥向锥旁及锥前少量渗漏的患者比例较PVP组更小（P＜0.05）。结论 3D打印数字技术辅助改良交叉PVP治疗SOVCF患者，可缩短手术以及穿刺定位时间、减少透视次数，显著减轻疼痛，腰椎功能恢复良好，显著改善脊柱-骨盆矢状面平衡状态以及生存质量，降低骨水泥渗漏概率。
Abstract:
Objective To explore the effects of 3D printing digital technology-assisted modified cross percutaneous vertebroplasty (PVP) on the spine-pelvic sagittal balance of patients with severe osteoporotic vertebral compressive fracture (SOVCF). Methods The patients with SOVCF (166 cases) admitted to Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from March 2017 to May 2020 were retrospectively analyzed, and according to the treatment protocol, the patients were divided into modified PVP group (83 cases) and PVP group (83 cases). The effect of 3D printing digital technology-assisted modified cross-PVP and its effect on the patient’s spine-pelvic sagittal balance state were analyzed by the contrast method. Results The operation time, puncture positioning time and times of fluoroscopy in the modified PVP group were shorter than those in the PVP group (P<0.05); The total effective probability of patients in the modified PVP group was greater than that in the PVP group (P<0.05). Compared with before operation, the VAS score and ODI score of the two groups decreased significantly 12 months after operation (P<0.05). Compared with before operation, the JOA score of the two groups increased significantly 12 months after operation (P<0.05); At 12 months after operation, compared with the PVP group, the TK, C7-S1SVA and PT of the modified PVP group were smaller (P<0.05), and the SS was larger (P<0.05); At 12 months after operation, compared with the PVP group, the PF, PR, GH, VT and SF of the modified PVP group were all larger (P<0.05), and the BP was smaller (P<0.05); The proportion of patients with a small amount of bone cement leaking to the paracone and anterior cone in the modified PVP group was smaller than that in the PVP group (P<0.05). Conclusions 3D printing digital technology assists the improvement of cross PVP in the treatment of SOVCF patients, which can shorten the operation and puncture positioning time, reduce the number of fluoroscopy, significantly reduce pain, restore lumbar spine function well, significantly improve the spine-pelvic sagittal balance and the quality of life, and reduce the probability of bone cement leakage.

备注/Memo

备注/Memo:
基金项目：上海市长宁区科学技术委员会项目（项目编号：NKW2018Y13）；上海市科学委员会项目（项目编号：20Y21903200）
更新日期/Last Update: 2023-10-25