摘要
目的对比分析前后路不同内固定方式在胸腰段脊柱严重爆裂骨折中的临床疗效和意义。方法自2011-10—2014-05采用前后路不同内固定方式治疗144例胸腰段脊柱严重爆裂骨折,按前后路不同固定方式分为前路组和后路组,对患者的脊柱矫形效果,椎管减压程度,治疗后坐立、行走持续时间及脊柱融合率等调查结果进行对比分析。比较2组在手术时间,术中出血量,术后引流量,切口愈合率,固定准确率及心肺并发症方面的差异。结果前路组术中出血量和术后引流量均显著高于后路组,2组比较差异有统计学意义(P<0.05);前路组在脊柱矫形、脊柱融合率、患者恢复中坐立和行走时间以及椎管的减压程度等方面均显著优于后路组,2组间比较差异有统计学意义(P<0.05)。结论前路内固定方法对胸腰段脊柱严重爆裂骨折的脊柱矫形、椎管减压、运动恢复、脊柱融合等效果理想,在维持脊柱正常功能、提高骨骼运动能力、改善脊柱脊髓质量、提高愈合和康复水平方面具有重要意义,值得临床推广应用。
Objective To make a comparative analysis on the clinical effect and significance of anterior and posterior instrument fixation for severe bursting fracture of thoracic and lumbar spine. Methods From October 2011 to May 2014, 144 cases of severe bursting fracture of thoracic and lumbar spine were treated with anterior and posterior instrument fixation.They were divided into anterior group and posterior group based on the fixation with anterior and posterior instrument respectively. Based on the grouping, a comparative analysis was made on the effect of spine correction, vertebral canal decompression degree, post-treatment sitting and standing, walking duration and spinal column fusion rate of the patients.Results The bleeding amount in the process of operation and after operation in the anterior group was significantly higher than the posterior group, and the difference between the two groups was of statistical significance（ P〈0.05）. The spine correction, spinal column fusion rate, sitting, standing and walking duration of the patients in the process of recovery as well as the decompression degree of vertebral canal in the anterior group were significantly better than the posterior group, and the difference between the two groups was of statistical significance（P〈0.05）. Conclusion Anterior instrument fixation has better effect in terms of spine correction, vertebral canal decompression, movement restoration and spinal column fusion, etc. With great significance in terms of maintaining the normal function of the spinal column, strengthening the movement capacity of bones, improving the quality of the spinal column and spinal cord and raising the healing and recovery level, the method of anterior instrument fixation is worth promoting in clinical treatment.
出处
《中国骨与关节损伤杂志》
2015年第9期914-917,共4页
Chinese Journal of Bone and Joint Injury
关键词
胸腰段脊柱严重爆裂骨折
前入路
后入路
内固定
脊柱矫形
脊椎融合率
Severe bursting fracture of thoracic and lumbar spine
Anterior approach
Posterior approach
Internal fixation
Spine correction
Spinal column fusion rate
