摘要
目的分析经后路伤椎椎弓根钉固定治疗胸腰椎爆裂骨折的临床疗效。方法方便选取2015年1月—2017年1月期间该院收治的60例胸腰椎爆裂型骨折患者,采用经后路伤椎椎弓根钉固定治疗(6钉固定)的为研究组(n=30),应用传统跨伤椎平面弓根钉内固定治疗(4钉固定)的为对照组(n=30)。两组患者在术前、术后、随访的临床效果,且所有患者均进行X线检查,测量伤椎椎体前缘高度值和Cobb角度。结果研究组伤椎前缘高度末次随访与对照组比较差异有统计学意义(t=2.770 2,P=0.007 5),研究组Cobb角度末次随访与对照组比较,差异有统计学意义(t=3.568 1,P=0.000 7),研究组手术时间(80.45±11.23)min与对照组(81.23±11.36)min比较,差异无统计学意义(t=0.267 4,P=0.790 1),研究组术中出血量(126.25±23.12)mL与对照组(128.45±23.23)mL比较,差异有统计学意义(t=0.367 6,P=0.714 5)。结论对胸腰椎爆裂型骨折的患者行后路伤椎椎弓根钉固定治疗,利于增强骨折固定的稳定性,对恢复和维持伤椎高度有显著作用。
Objective To analyze the clinical efficacy of posterior approach pedicle screw fixation for thoracolumbar burst fractures. Methods Sixty patients with thoracolumbar burst fractures admitted to the hospital from January 2015 to January 2017 were convenient selected treated with posterior lumbar pedicle screw fixation （6 nail fixation） for the study group （n= 30）, the traditional trans-injury plane flat nail fixation （4 nail fixation） was used as the control group （n=30）. The clinical effects of preoperative, postoperative, and follow-up were performed in both groups, and all patients underwent X-ray examination to measure the height of the leading edge of the injured vertebral body and the Cobb angle. Results The final follow-up of the injured vertebrae in the study group was compared with the control group,the different was statistically significant（t=2.770 2, P=0.007 5）. The last follow-up of Cobb angle in the study group was compared with the control group, the different was statistically significant（t=3.568 1, P=0.000 7）, and the operation time of the study group was （80.45±11.23） rain was compared with the control group （81.23±11.36）min, the different was not statistically significant （t=0.267 4, P= 0.790 1）. The intraoperative blood loss （126.25±23.12） mL in the study group was compared with the control group （128.45± 23.23）mL, the different was not statistically significant （t=0.367 6, P=0.714 5）. Conclusion Posterior approach pedicle screw fixation for patients with thoracolumbar burst fractures is beneficial to enhance the stability of fracture fixation and has a significant effect on restoring and maintaining the height of the injured vertebrae.
作者
沈斐
范胜利
吴健
杨金华
张伟
王筱林
SHEN Fei;FAN Sheng-li;WU Jian;YANG Jin-hua;ZHANG Wei;WANG Xiao-lin(Department of Orthopaedics,Second People＇s Hospital of Changshu,Changshu,Jiangsu Province,215500 China)
出处
《中外医疗》
2018年第26期43-44,47,共3页
China & Foreign Medical Treatment
关键词
经后路
椎弓根钉固定治疗
胸腰椎爆裂骨折
Posterior approach
Pedicle screw fixation
Thoracolumbar burst fracture
作者简介
沈斐（1970-），男，江苏常熟人，本科，副主任医师，主要从事创伤骨科及脊柱外科工作。
