摘要
目的探讨微创经皮附加伤椎椎弓根螺钉内固定治疗胸腰椎骨折的疗效。方法选取本院2008年3月—2011年3月收治的胸腰椎骨折患者59例,并随机分为2组。研究组(n=30)给予微创经皮附加伤椎椎弓根螺钉内固定,对照组(n=29)给予传统开放内固定治疗,对患者手术疗效进行评价,并对所有纳入病例进行1年以上的随诊。结果研究组术中出血、术后住院时间等一般情况均优于对照组(P<0.05),2组术后Cobb角与术前比较差异有统计学意义(P<0.01),但术后2组间比较无显著差异(P>0.05)。2组伤椎前缘高度恢复程度及VAS评分存在显著差异(P<0.05)。术后研究组椎弓根螺钉置入准确率为(94.3±3.6)%,对照组为(96.1±2.9)%,2组间无显著差异(P>0.05)。结论经皮附加伤椎椎弓根螺钉内固定治疗胸腰椎骨折具有术后恢复快,治愈率高并发症少等优点,值得临床上推广应用。
Objective To explore the efficacy of mini-invasive percutaneous pedicle screw fixation in 30 patients with thoracic and lumbar spine fracture. Methods From March 2005 to March 2012, 59 patients were randomized to undergo sextant percutaneous pedicle screw fixation （Study group, n = 30）, and open pedicle screw fixation （Control group, n = 29）. The operation effect was observed. All patients were followed up for more than 1 year. Results Intraoperative hemorrhage and postoperative hospitalization time were better in study group than in control group （P〈 0.05）. After treatment, the differences between postoperative Cobb angles and preoperative Cobb angles were statistieally significant （P〈 0.01）, but no significant difference was observed be- tween two groups in terms of Cobb angles after opeartion （P 〉 0.05）. Anterior vertebral height restoration degree and VAS score showed statistically significant differences between the two groups （P 〈 0.05）. After operation, pedicle screw placement accuracy rate was 94.3 ＋ 3.6 % in the study group, while it was 96.1 ＋ 2.9 % in the control group, with no significant differences between the two groups （P 〉0.05）. Conclusion Mini-invasive percutaneous pedicle screw fixation in thoracic and lumbar spine fracture has advantages of less complications and high rate of bone fusion. Thus it is worthy of application in clinical promotion.
出处
《实用临床医药杂志》
CAS
2013年第17期29-31,共3页
Journal of Clinical Medicine in Practice
关键词
经皮
椎弓根螺钉
内固定
脊柱骨折
pereutaneous
pedicle screw
fixation
spinal fracture
