跨伤椎经皮与开放椎弓根螺钉固定治疗Magerl A型胸腰椎骨折的疗效

发布时间：2018-04-25 06:31

本文选题：微创手术 + 经皮椎弓根内固定　；参考：《实用医学杂志》2017年08期

【摘要】：目的:探讨跨伤椎经皮与开放内固定治疗Magerl A型胸腰椎骨折的疗效。方法:回顾性分析56例无神经症状的单节段Magerl A型胸腰椎骨折患者,微创组26例,开放组30例。对两组手术时间、术中出血、切口长度、术后下地时间、Cobb角、伤椎前缘高度比值、VAS评分、ODI评分等指标进行比较分析。结果:微创组术中出血量、切口长度、术后下地时间均低于开放组(P0.05),术后3 d及末次随访时VAS评分及ODI评分均低于开放组(P0.05),两组术后3 d和末次随访时伤椎前缘高度比值、Cobb角、VAS评分和ODI评分均较术前改善(P0.05),末次随访时的伤椎前缘高度比值、Cobb角均较术后3 d丢失(P0.05)。结论:治疗无神经症状的Magerl A型胸腰椎骨折微创手术可取得与开放相似的效果,且具有创伤小、出血少、下地早、恢复快等优点。
[Abstract]:Objective: to evaluate the effect of percutaneous and open internal fixation on Magerl type A thoracolumbar fractures. Methods: 56 patients with single segment Magerl A thoracolumbar fracture without neurological symptoms were retrospectively analyzed, 26 cases in the minimally invasive group and 30 cases in the open group. The operative time, intraoperative bleeding, incision length, postoperative time of landing and Cobb angle, VAS score and ODI score were compared between the two groups. Results: in the minimally invasive group, the amount of intraoperative bleeding, the length of incision, The time after operation was lower than that in the open group (P 0.05), and the VAS score and the ODI score at the 3rd day and the last follow-up were lower than those in the open group. The ratio of anterior height of the injured vertebrae on the 3rd day and the last follow-up in the two groups was higher than that in the preoperative group. At the last follow-up, the ratio of anterior height of injured vertebrae and Cobb angle were all higher than that of 3 days after operation. Conclusion: minimally invasive treatment of Magerl A thoracolumbar fractures without neurologic symptoms can achieve similar results with open operation, and has the advantages of less trauma, less bleeding, early descent and quick recovery.
【作者单位】：广州市中西医结合医院脊柱专科;
【分类号】：R687.3

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