摘要
[目的]探索损伤分级对陈旧性骨质疏松性脊柱骨折患者的指导治疗效果。[方法]选取2014年9月至2019年9月于某医院接受治疗的124例陈旧性骨质疏松性脊柱骨折患者为研究对象,按照患者损伤程度分为5级:Ⅰ级44例,应用椎体强化手术;Ⅱ级31例,应用复位融合固定手术;ⅢⅢ级22例,应用减压复位融合内固定手术;Ⅳ级15例,应用截骨矫形内固定手术;V级9例,应用减压矫形融合内固定手术。观察并比较不同损伤分级患者术前和末次随访的疼痛评分、功能障碍指数及椎体矢状面指数。[结果]疼痛评分:Ⅰ级(2.31±0.88)分,Ⅱ级(2.32±0.82)分,Ⅲ级(2.27±0.75)分,Ⅳ级(2.29±0.74)分,V级(2.28±0.53)分。末次随访的疼痛评分均显著低于术前,数据比较具有统计学意义(P<0.05)。功能障碍指数:Ⅰ级(39.87±2.26),Ⅱ级(39.14±2.38),Ⅲ级(40.58±2.21),Ⅳ级(38.45±2.37),V级(38.52±2.38)。末次随访的椎体矢状面指数均显著低于术前,数据比较具有统计学意义(P<0.05)。末次随访的功能障碍指数均显著高于术前,数据比较具有统计学意义(P<0.05)。[结论]将不同损伤分级手术的理念应用于陈旧性骨质疏松性脊柱骨折患者能够有效指导该患者的治疗,对于不同病情和不同复杂程度的患者实施个性化手术方案,能够显著帮助患者减轻疼痛感,促进患者脊柱恢复稳定性,解除神经压迫,适合临床推广。
[Objective]To explore the effect of injury classification in guiding the treatment of patients with old osteoporotic spine fractures.[Methods]124 patients with old osteoporotic spine fractures who were treated in a hospital from September 2014 to September 2019 were selected as the research subjects,and according to the degree of injury divided into 5 grades.44 cases of gradeⅠwere treated with vertebral reinforcement;31 cases of gradeⅡapplied reduction and fusion fixation surgery;22 cases of gradeⅢapplied reduction and fusion internal fixation surgery;15 cases of gradeⅣapplied osteotomy and orthopedic internal fixation surgery;9 cases of gradeⅤapplied decompression orthopedic fusion internal fixation operation.Observe and compare the pain score,dysfunction index and vertebral sagittal index of patients with different injury grades before and after the last followup.[Results]Pain score:gradeⅠ,2.31±0.88;gradeⅡ,2.32±0.82,gradeⅢ,2.27±0.75;gradeⅣ,2.29±0.74;grade V,2.28±0.53.The pain scores of injury patients at the last follow-up were significantly lower than those before surgery,and the data comparison was statistically significant(P<0.05).dysfunction index:gradeⅠ,39.87±2.26;gradeⅡ,39.14±2.38;gradeⅢ,40.58±2.21;grade IV,38.45±2.37;grade V,38.52±2.38.The last follow-up of patients with injury was significantly lower than that before operation,and the data comparison was statistically significant(P<0.05).The vertebral sagittal index of the patients injury at the last follow-up was significantly higher than that before surgery,and the data comparison was statistically significant(P<0.05).[Conclusion]Applying the concept of different injury grading surgery to patients with old osteoporotic spine fractures can effectively guide the treatment of this patient.The implementation of personalized surgical solutions for patients with different conditions and different levels of complexity can significantly help patients reduce pain and promote.The patient’s spine returned to stability and was exposed to nerve compression,which is suitable for clinical promotion.
作者
朱鑫
徐海斌
ZHU Xin;XU Haibin(Department of Orthopedics The First People's Hospital of Shangqiu City,Shangqiu 476100 China;Department of Orthopedics The First Affiliated Hospital of Xinxiang Medical College,Xinxiang 476100 China)
出处
《河南大学学报（医学版）》
CAS
2021年第3期181-184,共4页
Journal of Henan University:Medical Science
基金
河南省科技攻关计划(201603240)。
作者简介
朱鑫(1985⁃),男,研究生,主治医师。研究方向:骨科疾病的研究与治疗。
