摘要
目的探讨经皮椎弓根钉内固定治疗胸腰段骨折中折弯连接棒联合伤椎置钉杠杆复位治疗效果。方法选取2019年1月—2020年1月间医院收治的胸腰段骨折患者64例,随机分为观察组(32例)及对照组(32例)。观察组采用折弯连接棒联合伤椎置钉杠杆复位经皮椎弓根钉内固定术,对照组采用传统开放椎弓根钉撑开复位进行治疗,对比观察两组患者术中出血量、手术时间、术后后凸Cobb角以及伤椎前缘高度等指标。结果观察组患者术中出血量及手术时间均明显少于对照组患者,差异具有统计学意义(P<0.05)。观察组患者术后后凸Cobb角明显小于对照组,差异具有统计学意义(P<0.05)。观察组患者术后伤椎前缘高度明显大于对照组(P<0.05)。结论使用伤椎置钉杠杆复位术,同时联合应用折弯连接棒经皮椎弓根钉内固定术,在胸腰段骨折患者的治疗中具有损伤小、恢复快,保持伤椎高度,矫正畸形等优点。
Objective To investigate the effect of percutaneous pedicle screw internal fixation in the treatment of thoracolumbar fractures with bending rods combined with vertebral nail placement and lever reduction.Methods 64 patients with thoracolumbar fractures from January 2019 to January 2020 were selected and divided into observation group and control group,32 cases in each group.Patients in the observation group were treated with bending and connecting rods combined with injured vertebral nailing lever reduction and percutaneous pedicle screw internal fixation.The control group was treated with traditional open pedicle screw expansion and reduction.The two groups of patients were compared and observed the intraoperative blood loss,operation time,postoperative convex Cobb angle,and the height of the anterior edge of the injured vertebrae.Results The intraoperative blood loss and operation time of the observation group were significantly less than those of the control group,and the difference was statistically significant(P<0.05).The postoperative Cobb angle of the observation group was significantly smaller than that of the control group,and the difference was statistically significant(P<0.05).The height of the anterior edge of the injured vertebrae in the observation group was significantly greater than that in the control group(P<0.05).Conclusion The use of injured vertebral nail placement lever reduction combined with bending connecting rod percutaneous pedicle screw internal fixation for thoracolumbar fractures has the advantages of less damage,quick recovery,maintaining the height of the injured vertebrae,and correcting deformities.
作者
徐英
XU Ying(Department of Orthopedics,Qiqihar Traditional Chinese Medicine Hospital,Qiqihar Heilongjiang 161000,China)
出处
《中国卫生标准管理》
2021年第9期85-87,共3页
China Health Standard Management
关键词
胸腰段骨折
内固定
折弯连接棒
杠杆复位
COBB角
椎弓根钉
thoracolumbar fracture
internal fixation
bending connecting rod
lever reduction
Cobb
pedicle screw
