摘要
目的探讨经椎旁肌间隙入路3种术式治疗胸腰椎骨折的临床疗效。方法 2008年11月-2010年11月,65例无神经损伤表现的胸腰椎骨折病人分为3组,其中19例患者采用传统的跨伤椎四钉固定法(A组),32例采用经伤椎椎弓根置钉的六钉固定法(B组),14例采用伤椎椎弓根置钉的四钉短节段固定法(C组),比较3组患者术前疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、术前、术后伤椎前缘压缩比及矢状面Cobb角的差异。结果 3组患者术后VAS、ODI评分与术前比较差异有统计学意义(P<0.05)。3组术后3d、术后3个月和术后1a伤椎矢状面Cobb角与术前比较差异均有统计学意义(P<0.05);B组和C组术后3个月和术后1a伤椎前缘压缩比与A组比较差异有统计学意义(P<0.05),B组与C组比较差异无统计学意义(P>0.05)。结论 3种手术方式均能有效治疗胸腰椎骨折,但与传统的跨伤椎四钉固定法相比,经伤椎椎弓根置钉的六钉固定法和伤椎椎弓根置钉的四钉短节段固定法的临床疗效更优。
Objective To evaluate the clinical efficacy of posterior route paraspinal muscle approach three surgical methods for thoracolumber burst fractures.Methods From November 2008 to November 2011,a total of 65 cases of non-neurological symptoms patients with thoracic and lumber spine fractures were included in the study.The patients were divided into three groups,with 19 cases treated with traditional four pedicle screw（group A）,32 cases treated with six vertebral pedicale screw fixation on fractured vertebra（group B） and 14 cases treated with four vertebral pedicale screw fixation on fractured vertebra（group C）.The preoperative pain visual analog score（VAS）,oswestry functional disability index（ODI）,preoperative and postoperative fractured vertebral body compression ratio and the sagittal Cobb angle difference on the leading edge were compared among three groups.Results The scores of VAS,the ODI score postoperative were statistically significant different from preoperative among three groups（P0.05）.Conclusion All of the three surgical procedures are effective for thoracolumber burst fractures.And six and four vertebral pedicle screw fixation on fractured vertebra is better than traditional four pedicle screw.
出处
《新疆医科大学学报》
CAS
2012年第6期806-809,共4页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区自然科学基金项目(2011211A44)
关键词
胸椎
腰椎
脊柱骨折
治疗
thoracic vertebrae
lumbar vertebrae
spinal fractures
treatment
