附加伤椎钉治疗单节段胸腰椎骨折的疗效观察

发布时间：2018-05-17 05:10

本文选题：伤椎钉 + 胸腰椎骨折　；参考：《中国矫形外科杂志》2017年10期

【摘要】：[目的]探讨附加伤椎钉治疗单节段胸腰椎骨折的临床疗效。[方法]2014年8月~2016年11月,附加伤椎钉治疗单节段胸腰椎骨折不合并脱位33例(T10~L3),其中男21例,女12例;年龄16~55岁,平均(32.6±17.1)岁,5例存在不同程度的神经功能障碍。观察指标包括手术时间、出血量、手术前后后凸Cobb角、伤椎椎体前缘高度比(FVHR)、视觉模拟评分(visual analog scale,VAS)、ASIA神经功能分级及并发症,并观察有无内固定松动断裂。[结果]33例患者均获得12~24个月的随访,术前术后后凸Cobb角、FVHR、VAS评分差异均有统计学意义(P0.05)。ASIA神经功能分级:术后12个月随访时1例由B级转为D级、2例由C级转为D级、2例由D级转为E级,无医源性损害发生。[结论]后路附加伤椎椎弓根螺钉固定治疗胸腰椎骨折具有复位满意、良好固定的效果,是治疗胸腰椎骨折的有效方法。
[Abstract]:[objective] to investigate the clinical effect of treating single level thoracolumbar fractures with additional injured screws. [methods] from August 2014 to November 2016, 33 patients (21 males and 12 females) with single thoracolumbar fractures and dislocations were treated with additional spinal screw, including 21 males and 12 females, with 5 patients with neurological dysfunction, aged from 16 to 55 years with an average of 32.6 卤17.1 years old. The parameters included operation time, blood loss, kyphosis Cobb angle before and after operation, anterior height ratio of injured vertebrae, visual analogue score (VAS), visual analog scalescale (VASA) nerve function grading and complications, and observed whether there were loosening and rupture of internal fixation. [results] all 33 patients were followed up for 1224 months. There were significant differences in VAS score of Cobb angle of kyphosis before and after operation (P 0.05). Asia neurological function grade: 1 case changed from B grade to D grade 2 cases changed from C grade to D grade 2 cases changed from D grade to E grade at 12 months after operation, no iatrogenic damage occurred. [conclusion] posterior pedicle screw fixation for thoracolumbar fractures is an effective method for the treatment of thoracolumbar fractures.
【作者单位】：河南省人民医院(郑州大学人民医院)骨科;
【基金】：河南省卫生厅普通科技攻关项目(编号:201203106)
【分类号】：R687.3

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