摘要
目的:探讨后路单节段伤椎固定治疗脊柱胸腰段不完全爆裂骨折的疗效。方法:选择我院2006年6月~2010年3月收治的脊柱胸腰段不完全爆裂骨折患者40例,其中,给予20例患者单节段固定治疗(观察组),20例患者采用短节段固定治疗(对照组)。比较两组手术情况及术后视觉模拟评分(vAs)、伤椎后凸角情况。结果:两组术后1周、术后1年伤椎角度、视觉模拟评分均较治疗前明显改善,前后比较,差异有统计学意义(P〈0.05);丽组手术时间、术中出血量、术后1周及1年伤椎后凸角度及视觉模拟评分比较,差异无统计学意义(P〉0.05)。结论:后路单节段伤椎固定治疗脊柱胸腰段不完全爆裂骨折与短节段固定治疗效果元明显差异,近期疗效较好,值得临床应用。
Objective: To investigate the effect on fixation of posterior single segment injury vertebral in the treatment of vertebral thoracolumbar burst fracture. Methods: 40 patients with incomplete burst thoracolumbar fracture in our hospital from June 2006 to March 2010 were divided into observation group which treated with posterior single segment fixation and control group which treated with posterior short segment fixation, surgery conditions, visual analog scale (VAS), vertebral kyphosis angle of two groups were compared. Results: One week and one year after surgery, vertebral kyphosis angle, VAS scale all improved significantly compared with before treatment, the difference was statistically significant (P〈0.05); the operate time, blood loss, vertebral kyphosis angle and VAS scores after surgery with one week and one year in two groups had no significant difference (P〉0.05). Conclusion: The treatment effect of posterior single-segment fixation of incomplete vertebral thoracolumbar burst fracture and short segment fixation has no significant difference, and the short-term effect is better, it is worthy of clinical application.
出处
《中国医药导报》
CAS
2011年第25期168-169,共2页
China Medical Herald
关键词
脊柱爆裂骨折
单节段伤椎固定
短节段伤椎固定
Spinal burst fracture
Single-segment fixation of thoracolumbar fracture
Short segment fixation of thoracolumbar fracture