前后路短节段固定融合治疗腰椎纵向劈裂骨折
发布时间：2019-05-19 22:22
【摘要】：目的:评价前后路短节段固定融合治疗腰椎纵向劈裂骨折的临床效果和安全性。方法:回顾性分析中南大学湘雅二医院脊柱外科2005年3月至2013年5月采用的前后路短节段固定融合治疗的13例腰椎纵向劈裂骨折患者临床资料,对所有患者的矫正情况进行随访,采用疼痛视觉模拟量表(visual analogue scale,VAS)评分、Oswestry功能障碍指数(Oswestry disability index,ODI)对腰椎功能进行评估。结果:随访时间为24~60个月,平均42个月;手术时间185~300min,平均248 min;术中失血量为600~1 500 m L,平均950 m L。所有患者术后均获得功能及自我形象的改善,在Cobb角评估方面,术后2 d,12个月和末次随访测量Cobb角较手术前均有明显改善,差异均有统计学意义(P0.05);VAS评分和ODI评估术后2 d,12个月和末次随访测量结果较之术前均有改善,差异均有统计学意义(P0.05)。术后12个月与末次随访的评估结果相比,差异无统计学意义(P0.05)。根据美国脊髓损伤协会(ASIA)分级标准,在末次随访时,术前8例D级患者中6例恢复至E级,其中3例未见进一步恢复;术前2例C级中1例恢复至D级,1例恢复至E级。所有病例骨折均获愈合,愈合时间为3~6个月,平均4.5个月;术中3例有硬膜撕裂,术中给予修补;无神经血管损伤并发症病例。结论:短节段伤椎置钉和旋棒复位是腰椎纵向劈裂不稳定骨折较好的手术选择。
[Abstract]:Objective: to evaluate the clinical effect and safety of anterior and posterior short segment fixation and fusion in the treatment of lumbar longitudinal split fracture. Methods: the clinical data of 13 patients with lumbar longitudinal split fracture treated by anterior and posterior short segment fixation and fusion from March 2005 to May 2013 in Xiangya second Hospital of Central South University were analyzed retrospectively. the clinical data of 13 patients with longitudinal split fracture of lumbar vertebrae were treated by anterior and posterior short segment fixation and fusion from March 2005 to May 2013. The correction of all patients was followed up. The lumbar vertebrae function was evaluated by pain visual analog scale (visual analogue scale,VAS) score and Oswestry dysfunction index (Oswestry disability index,ODI). Results: the follow-up time was 24 脳 60 months (mean 42 months), the operation time was 185 min / 300 min, and the average intraoperative blood loss was 600 脳 1 500 min;, with an average of 950 mL. The function and self-image of all patients were improved after operation. On the 2nd day after operation, the Cobb angle measured at 12 months and at the last follow-up was significantly improved compared with that before operation, the difference was statistically significant (P 0.05). On the 2nd day after operation, the results of VAS score and ODI were improved at 12 months and at the last follow-up, and the difference was statistically significant (P 0.05). There was no significant difference between the evaluation results of 12 months after operation and the last follow-up (P 0.05). According to the (ASIA) grading standard of American Spinal Cord injury Association, 6 of 8 grade D patients recovered to grade E before operation, 3 of them did not recover further, 1 of 2 patients of grade C recovered to grade D before operation, and 1 of them recovered to grade E. The fracture healed in all cases, the healing time was 3 鈮，
本文编号：2481113
[Abstract]:Objective: to evaluate the clinical effect and safety of anterior and posterior short segment fixation and fusion in the treatment of lumbar longitudinal split fracture. Methods: the clinical data of 13 patients with lumbar longitudinal split fracture treated by anterior and posterior short segment fixation and fusion from March 2005 to May 2013 in Xiangya second Hospital of Central South University were analyzed retrospectively. the clinical data of 13 patients with longitudinal split fracture of lumbar vertebrae were treated by anterior and posterior short segment fixation and fusion from March 2005 to May 2013. The correction of all patients was followed up. The lumbar vertebrae function was evaluated by pain visual analog scale (visual analogue scale,VAS) score and Oswestry dysfunction index (Oswestry disability index,ODI). Results: the follow-up time was 24 脳 60 months (mean 42 months), the operation time was 185 min / 300 min, and the average intraoperative blood loss was 600 脳 1 500 min;, with an average of 950 mL. The function and self-image of all patients were improved after operation. On the 2nd day after operation, the Cobb angle measured at 12 months and at the last follow-up was significantly improved compared with that before operation, the difference was statistically significant (P 0.05). On the 2nd day after operation, the results of VAS score and ODI were improved at 12 months and at the last follow-up, and the difference was statistically significant (P 0.05). There was no significant difference between the evaluation results of 12 months after operation and the last follow-up (P 0.05). According to the (ASIA) grading standard of American Spinal Cord injury Association, 6 of 8 grade D patients recovered to grade E before operation, 3 of them did not recover further, 1 of 2 patients of grade C recovered to grade D before operation, and 1 of them recovered to grade E. The fracture healed in all cases, the healing time was 3 鈮，
本文编号：2481113
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