摘要
目的探讨经皮椎弓根螺钉内固定术(PPS)与经皮椎体成形术(PVP)联合治疗骨质疏松性胸腰段骨折的临床效果.方法选取本院2019年10月—2022年7月收治的62例骨质疏松性胸腰段骨折患者为研究对象,根据随机数字表法分为两组.对照组(n=31)采用单纯PVP治疗,研究组(n=31)采用PPS联合PVP治疗.比较两组患者手术相关指标、Cobb角、伤椎椎体前缘高度百分比、功能障碍情况、术后并发症发生情况.结果研究组手术操作时间长于对照组,差异有统计学意义(P<0.05).两组术中出血量与骨水泥用量对比,组间差异无统计学意义(P>0.05).术后3个月,研究组伤椎椎体前缘高度百分比(82.60±4.75)%高于对照组的(70.54±5.60)%,Cobb角(11.47±4.50)°小于对照组的(14.60±4.05)°,组间差异有统计学意义(P<0.05).术后3个月,研究组Oswestry功能障碍指数问卷表评分低于对照组,差异有统计学意义(P<0.05).两组术后并发症发生率比较,差异无统计学意义(P>0.05).结论采用PPS联合PVP治疗骨质疏松性胸腰段骨折能够有效复位伤椎,改善患者椎体功能障碍,具有临床应用价值.
Objective To investigate the clinical effect of percutaneous pedicle screw(PPS)combined with percutaneous vertebro plasty(PVP)for the treatment of osteoporotic thoracolumbar fracture.Methods 62 patients with osteoporotic thoracolumbar fracture admitted to the hospital from October 2019 to July 2022 were selected as the research objects and divided into two groups according to random number table method.The control group(n=31)was treated with PVP alone,while the study group(n=31)was treated with PPS combined with PVP.The operation-related indexes,Cobb Angle,percentage of anterior edge height of injured vertebra,dysfunction and postoperative complications were compared between the two groups.Results The operation time of the study group was longer than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss and bone cement dosage were compared between the two groups,and there were no statistical significances between the two groups(P>0.05).3 months after surgery,the percentage of anterior edge height of injured vertebra in the study group was(82.60±4.75)%,which was higher than(70.54±5.60)%in the control group,and the Cobb Angle was(11.47±4.50)°,which was lower than(14.60±4.05)°in the control group,and the differences between the groups were statistically significant(P<0.05).3 months after surgery,the Oswestry dability index score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion PPS combined with PVP in the treatment of osteoporotic thoracolumbar fracture can effectively reduce the injured vertebra and improve patients'vertebral dysfunction,which has clinical application value.
作者
孙建磊
SUN Jianlei(Department of Joint Surgery,Xintai People's Hospital,Tai'an Shandong,271200,China)
出处
《反射疗法与康复医学》
2023年第3期120-123,共4页
Reflexology And Rehabilitation Medicine
作者简介
孙建磊(1980-),男,山东新泰人,硕士研究生,主治医师,研究方向:脊柱、关节、创伤疾病治疗。
