经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床疗效观察

发布时间：2018-02-26 07:28

  本文关键词： 胸腰椎骨折 经皮 椎弓根螺钉 内固定术　出处：《中国矫形外科杂志》2017年02期 　论文类型：期刊论文

【摘要】：[目的]探讨经皮椎弓根螺钉内固定术治疗胸腰椎骨折的疗效。[方法]将本院2010年1月~2014年12月收治的84例胸腰椎骨折患者随机分成2组,每组42例。观察组采用经皮椎弓根螺钉内固定术,对照组采用开放椎弓根螺钉内固定术。对两组围术期参数、手术前后椎体前缘高度和伤椎Cobb角、Frankel脊髓功能进行观察。[结果]观察组患者手术时间、出血量、切口长度、术后1 d疼痛评分均显著低于对照组(P0.05);两组术后1年椎体前缘高度百分比显著高于术前水平(P0.05),两组术后1年Cobb角显著低于术前水平(P0.05),两组间比较差异无统计学意义(P0.05);观察组Frankel脊髓功能评定结果显著优于对照组(P0.05)。[结论]经皮椎弓根螺钉内固定术治疗胸腰椎骨折效果满意,相比开放手术,该术式具有手术时间、出血量、切口长度、术后1 d疼痛轻、术后功能恢复快的优点。
[Abstract]:[objective] to evaluate the efficacy of percutaneous pedicle screw fixation in the treatment of thoracolumbar fractures. [methods] Eighty-four patients with thoracolumbar fractures from January 2010 to December 2014 were randomly divided into two groups. 42 cases in each group were treated with percutaneous pedicle screw fixation in the observation group and open pedicle screw fixation in the control group. The anterior height of vertebral body and the function of Frankel spinal cord in Cobb angle of injured vertebra were observed before and after operation. 1 day after operation, the pain score was significantly lower than that in the control group (P 0.05), the percentage of anterior height of vertebral body in both groups was significantly higher than that before operation (P 0.05), and the Cobb angle was significantly lower in both groups at 1 year after operation than that at preoperative level (P 0.05). There was no significant difference between the two groups. The evaluation results of Frankel spinal cord function in the observation group were significantly better than those in the control group. [conclusion] the effect of percutaneous pedicle screw internal fixation for thoracolumbar fractures is satisfactory. Compared with open operation, it has the advantages of operation time, blood loss, incision length, light pain 1 day after operation and quick recovery of postoperative function.
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