摘要
目的探讨经皮椎弓根螺钉内固定手术治疗胸腰椎骨折的效果。方法将42例胸腰椎骨折患者随机分为开放椎弓根螺钉内固定组(开放组,21例)和经皮椎弓根螺钉内固定组(经皮组,21例)。对术中、术后反映手术创伤的指标进行监测,观察术前、术后1年椎体前缘高度和伤椎Cobb角,并进行比较分析。结果经皮组手术时间、术中出血量、术后引流量、切口长度、住院时间及带支具离床时间均少于开放组(P<0.05),经皮组内固定破坏、腰背部疼痛的程度和发生率均低于开放组(P<0.05);两组术后伤椎椎体前缘高度、Cobb角与术前比较差异均有统计学意义(P<0.05),经皮组伤椎椎体恢复较开放组好。结论微创经皮置入椎弓根钉固定技术治疗胸腰椎骨折并发症少,功能恢复较开放椎弓根螺钉内固定好。
Objective To study the effect of minimally invasive percutaneous pediele screws osteosynthesis in the treatment of thoracolumbar fractures. Methods 42 patients with thoracolumbar fracture were randomly divided into two groups： 21 cases were treated with traditional open pedicle screw fixation （the open group）, 21 cases were treated with minimally invasive percutaneous pedicle screws osteosynthesis （the percutaneous group）. The postoperative and intraoperative indicators of surgical trauma, the anterior height of vertebral and the Cobb angle of fractured verte- bral preoperative and postoperative 1 year were recorded and compared. Results The operation time, amount of bleeding during surgery, postoperative drainage, incision length, hospital stays and brace away from the bed time of percutaneous group were all less than those of the open group （ P 〈 0. 05 ）. The extent of the internal fixation de- stroyed, the extent and incidence of back pain of percutaneous group were much rather lower than those of the open group（ P 〈 0. 05 ）. There were significantly differences bettween two groups in the anterior vertebral height and Cobb angle. The injuried vertebral of percutaneous group got a better recovery. Conclusions There are fewer complications and better functional recovery for minimally invasive percutaneous pedicle screws osteosynthesis in the treatment of thoracolumbar fractures.
出处
《临床骨科杂志》
2013年第4期384-386,共3页
Journal of Clinical Orthopaedics
关键词
经皮椎弓根螺钉内固定微创术
胸腰椎骨折
开放椎弓根螺钉内固定术
minimally invasive percutaneous pedicle screws osteosynthesis
thoracolumbar fractures
open pedicle screw fixation
