摘要
目的探讨2种经皮椎弓根螺钉技术治疗不稳定胸腰椎骨折的可行性及疗效比较。方法 2007年6月－2009年5月,采用2种经皮椎弓根螺钉技术治疗单节段无神经症状的不稳定胸腰椎骨折患者28例,其中12例使用丹历枢法模公司生产的Sextent经皮椎弓根螺钉系统,16例采用本院自行总结的＂触摸法＂经皮椎弓根螺钉技术（使用国产USS椎弓根螺钉系统）。分别比较2组间术前、术后伤椎前缘高度百分比、后凸Cobb角、手术时间、术中出血量、住院时间及带支具下床时间。结果所有患者均获得9－18个月（平均14个月）的随访,所有患者的术后伤椎前缘高度百分比、后凸Cobb角较术前均有显著的恢复,差异有统计学意义（P〈0.01）;但2组住院时间及带支具下床时间差异无统计学（P〉0.05）;＂触摸法＂手术组的手术时间明显缩短,术中出血量明显减少,与Sextent系统手术组相比差异有统计学意义（P〈0.01）。结论 2种经皮椎弓根螺钉技术均是治疗不稳定胸腰椎骨折的有效方法,但＂触摸法＂具有手术操作更简单、费用较低等优点。
Objective To investigate the feasibility and curative effect of 2 different percutaneous transpedicular screw fixation techniques in the treatment of unstable thoracic and lumbar vertebrae fractures.Methods From June 2007 to May 2009,28 patients with single segment fractures of thoracic and lumbar vertebrae were treated with percutaneous transpedicular screw fixation.All the patients had no neurological deficits.Twelve patients were treated with Sextent transpedicular screw internal fixation system manufactured by Dandou Sofamor Company,and the other 16 patients were treated with general transpedicular screw internal fixation system called ＂touch technique＂.The anterior height of injury vertebrae,Cobb＇s angle,operation time,blood loss,length of stay and out-bed activity were compared.Results All the patients were followed up for an average time of 14 months（range 9-18 months）.After operation,all the patients obtained a significant improvement of anterior height of injury vertebrae and Cobb＇s angle.The differences were statistical significance（P0.01）.There was no significant difference between the 2 groups in length of stay and out-bed activity（P0.05）.The operation time and blood loss were significant decreased when treated with ＂touch technique＂,and the differences were statistical significance（P0.01）.Conclusion The 2 different percutaneous transpedicular screw fixation techniques were all effective,but ＂touch technique＂ has the advantages of simple manipulation and low cost.
出处
《脊柱外科杂志》
2010年第6期352-355,共4页
Journal of Spinal Surgery
关键词
胸椎
腰椎
脊柱骨折
内固定器
外科手术
微创性
Thoracic vertebrae
Lumbar vertebrae
Spinal fractures
Internal fixators
Surgical procedures
minimally invasive
