后路经伤椎置钉治疗胸腰段椎体骨折的疗效分析

发布时间：2018-05-12 10:30

本文选题：脊柱骨折 + 骨钉　；参考：《中国全科医学》2017年S2期

【摘要】：目的探讨后路经伤椎置椎弓根螺钉内固定治疗胸腰段椎体骨折的疗效。方法选取2010年5月—2015年3月蚌埠市第一人民医院收治的胸腰段椎体骨折患者23例为研究对象,均行后路经伤椎置椎弓根螺钉进行复位、钉棒系统内固定术治疗,采用改良Macnab疗效评定标准评价疗效,比较治疗前后伤椎椎体高度、Cobb角改善比例。结果平均手术时长116 min,平均出血量398 ml,平均随访26个月。根据改良Macnab疗效评定标准,其中:优15例,良6例,可1例,差1例,优良率91.3%。手术前后伤椎椎体高度、Cobb角比较,差异均有统计学意义(P0.05)。结论采用后路经伤椎置椎弓根螺钉内固定治疗胸腰段椎体骨折,利于矫正后凸畸形,增加脊柱稳定性,恢复并保持伤椎前缘高度,疗效满意。
[Abstract]:Objective to evaluate the effect of posterior pedicle screw fixation for thoracolumbar vertebral fracture. Methods from May 2010 to March 2015, 23 cases of thoracolumbar vertebral fracture treated by Bengbu first people's Hospital were selected as study subjects. All patients were treated with posterior pedicle screw reduction and screw rod system internal fixation. The modified Macnab criteria were used to evaluate the therapeutic effect and the ratio of improvement of vertebral height and Cobb angle before and after treatment was compared. Results the average operative time was 116 min, the average bleeding was 398 ml, and the average follow-up was 26 months. According to the modified Macnab criteria, 15 cases were excellent, 6 cases were good, 1 case was fair, 1 case was poor, and the excellent and good rate was 91.3%. There were significant differences in the height of vertebral body and Cobb angle before and after operation (P 0.05). Conclusion the treatment of thoracolumbar vertebral fracture with posterior pedicle screw fixation is beneficial to correct kyphosis, increase the stability of spine, restore and maintain the height of anterior edge of injured vertebrae, and the curative effect is satisfactory.
【作者单位】：安徽省蚌埠市第一人民医院骨科;
【分类号】：R687.3

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