伤椎置钉治疗单节段胸腰段椎体骨折的临床疗效

发布时间：2018-05-18 23:37

本文选题：胸腰椎骨折 + 伤椎置钉　；参考：《中国矫形外科杂志》2017年22期

【摘要】：[目的]探讨经伤椎置钉内固定技术治疗单节段胸腰椎骨折的临床疗效。[方法]将本院收治的94例胸腰椎骨折患者进行回顾性分析,伤椎椎弓根置钉内固定组49例,跨伤椎椎弓根置钉内固定组45例。观察两组手术时间、术中出血量、引流量、椎体前缘高度比、Cobb角及内固定失败率等临床指标。[结果]两组患者的手术时间、术中出血量、引流量及内固定失败率差异无统计学意义(P0.05);两组椎体前缘高度比及Cobb角无明显差异;术后随访18个月,末次随访伤椎置钉组椎体前缘高度比、Cobb角均优于跨椎置钉组(PO.05),差异有统计学意义;两组均无内固定失败病例。[结论]对于单节段胸腰椎压缩性骨折,两组术后伤椎椎体高度及Cobb角的矫正差异无统计学意义,但伤椎置钉内固定治疗远期临床疗效优于跨伤椎椎弓根置钉治疗。
[Abstract]:[objective] to investigate the clinical effect of single segment thoracolumbar fracture treated by internal fixation of injured vertebrae nail. [methods] A retrospective analysis of 94 cases of thoracolumbar fractures was carried out in our hospital. There were 49 cases in the pedicle fixation group and 45 cases in the transpedicular fixation group. The time of operation, the amount of blood lost during operation, the drainage volume, the ratio of anterior height of vertebral body to Cobb angle and the failure rate of internal fixation were observed. [results] there was no significant difference in operation time, intraoperative bleeding volume, drainage volume and failure rate of internal fixation between the two groups (P 0.05), but there was no significant difference in the ratio of anterior height of vertebral body and Cobb angle between the two groups. The anterior height of vertebral body in the last follow-up group was better than that in the trans-vertebral nail group (P < 0.05), and there were no cases of failure of internal fixation in both groups. [conclusion] for single segment thoracolumbar vertebral compression fracture, there is no significant difference in the correction of vertebral body height and Cobb angle between the two groups after operation, but the long-term clinical effect of the internal fixation of injured vertebral nail is better than that of transpedicular screw.
【作者单位】：南京医科大学附属淮安第一医院骨科;
【分类号】：R687.3

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