微创短节段经皮椎弓根螺钉结合经椎弓根注入可注射硫酸钙治疗胸腰椎骨折

发布时间：2018-05-25 07:06

本文选题：胸腰段 + 经皮椎弓根螺钉固定　；参考：《中国矫形外科杂志》2016年02期

【摘要】：[目的]探讨胸腰段椎体骨折患者采用微创短节段经皮椎弓根螺钉联合伤椎内经椎弓根注入硫酸钙治疗的临床疗效。[方法]回顾性分析61例胸腰椎骨折患者的临床资料,根据手术方法分为观察组32例和对照组29例,观察组采用微创短节段经皮椎弓根螺钉联合伤椎内经椎弓根注入硫酸钙治疗,对照组仅采用微创短节段经皮椎弓根螺钉固定治疗。[结果]观察组的手术时间、术中出血量显著高于对照组且差异均具有统计学意义(P0.05);观察组住院时间、术后下地时间均显著短于对照组且差异均具有统计学意义(P0.05)。观察组、对照组患者术后不同时间的VAS评分、Cobb角、椎体前缘高度压缩率、椎体后缘高度压缩率较术前均显著降低(P0.05);术后1周、末次随访观察组患者的上述指标均显著低于同期对照组患者(P0.05)。观察组的Frank分级分布显著优于对照组(Z=-2.552,P=0.011)。[结论]胸腰段椎体骨折患者采用微创短节段经皮椎弓根螺钉联合伤椎内经椎弓根注入硫酸钙治疗能够缩短恢复时间,增加椎体高度稳定性,减少Cobb角丢失。
[Abstract]:[objective] to investigate the clinical effect of minimally invasive short segment pedicle screw injection of calcium sulfate into vertebral pedicle in patients with thoracolumbar vertebral fracture. [methods] the clinical data of 61 patients with thoracolumbar fracture were analyzed retrospectively. According to the operative methods, the patients were divided into observation group (n = 32) and control group (n = 29). The observation group was treated with minimally invasive short segment percutaneous pedicle screw combined with intrapedicle injection of calcium sulfate, while the control group was only treated with minimally invasive short segment percutaneous pedicle screw fixation. [results] the operative time and intraoperative bleeding volume in the observation group were significantly higher than those in the control group, and the difference was statistically significant (P 0.05), and the hospitalization time and the postoperative landing time in the observation group were significantly shorter than those in the control group (P 0.05). In the observation group, the VAS scores of the patients in the control group at different time after operation were significantly lower than those in the preoperative group, including the VAS angle, the compression ratio of the anterior edge of the vertebral body and the compression ratio of the posterior edge of the vertebral body. The above indexes in the last follow-up group were significantly lower than those in the control group (P 0.05). The distribution of Frank in the observation group was significantly better than that in the control group. [conclusion] treatment of thoracolumbar vertebral fracture with minimally invasive percutaneous pedicle screw injection of calcium sulfate through pedicle of injured vertebrae can shorten the recovery time, increase the high stability of vertebral body and reduce the loss of Cobb angle.
【作者单位】：四川省宜宾市第二人民医院骨科;
【分类号】：R687.3

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