后路短节段椎弓根螺钉固定联合伤椎置钉治疗胸腰椎爆裂性骨折效果观察

发布时间：2018-10-11 08:23

【摘要】：目的观察后路短节段椎弓根螺钉固定联合伤椎置钉治疗胸腰椎爆裂性骨折患者的临床疗效。方法将60例胸腰椎爆裂性骨折患者随机分为观察组和对照组30例,均行后路短节段椎弓根螺钉固定治疗,观察组另行伤椎置钉。记录手术时间、出血量及术后住院时间、术后并发症发生情况,术后第6个月行Oswestry功能障碍指数评价,采用脊柱X线片、CT测定患者术前、术后即刻及术后第6个月伤椎前缘高度、Cobb角。结果两组手术时间、出血量、术后住院时间、术后并发症发生率、术后伤椎高度矫正率、术后Cobb角矫正率、术后6个月Oswestry功能障碍指数比较差异无统计学意义。观察组术后6个月伤椎高度矫正丢失率及Cobb角矫正丢失率均低于对照组(P均0.05)。结论后路短节段椎弓螺钉固定联合伤椎置钉有利于恢复及保持胸腰椎爆裂性骨折患者的椎体高度,减少伤椎高度矫正丢失。
[Abstract]:Objective to observe the clinical effect of posterior short segmental pedicle screw fixation combined with injured spinal screw in the treatment of thoracolumbar burst fracture. Methods 60 patients with thoracolumbar burst fracture were randomly divided into observation group and control group. The time of operation, the amount of blood loss, the time of hospitalization, the incidence of postoperative complications, the evaluation of Oswestry dysfunction index at the 6th month after operation, and the X-ray of spine were measured by CT before operation. The anterior edge height and Cobb angle of the injured vertebrae were immediately after operation and 6 months after operation. Results there was no significant difference between the two groups in operation time, bleeding volume, postoperative hospitalization time, postoperative complication rate, postoperative correction rate of vertebral height, Cobb angle correction rate and Oswestry dysfunction index at 6 months after operation. The loss rate of vertebral height correction and Cobb angle correction in the observation group were lower than those in the control group 6 months after operation (P < 0. 05). Conclusion posterior short segmental pedicle screw fixation combined with traumatic screw insertion is beneficial to the recovery and maintenance of vertebral body height in patients with thoracolumbar burst fracture and reduces the loss of correction of injured vertebral height.
【作者单位】：遵义市播州区人民医院;
【分类号】：R687.3

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