摘要
【目的】探讨后入路椎弓根钉不同节段固定治疗重度胸腰段脊柱骨折的临床效果。【方法】回顾性分析本院2012年1月至2014年12月收治的67例重度胸腰段脊柱骨折的临床资料，根据术式不同分为观察组（n=36）和对照组（n=31），对照组行短节段后入路椎弓根钉内固定治疗，观察组行长节段内固定治疗。比较两组患者的手术情况及神经功能、椎体前缘压缩度、Cobb角。【结果】观察组手术时间为（158．7±33．9）min，明显长于（113．6±24．2）min（P〈0．05）；术中出血量为（386．4±122．9）mL，明显多于对照组（183．7±57．8）mL（P〈0．05）；术后3个月，两组患者脊髓神经功能Frankel分级均明显提高（P〈0．05），但两组问比较差异无统计学意义（P〉0．05）；术后12个月，两组患者椎体前缘压缩度、Cobb角均明显优于术前（P〈0．05）；观察组术后Cobb角、Cobb角矫正率、Cobb角矫正丢失度、椎体前缘矫正丢失度均明显低于对照组，椎体前缘压缩度、椎体前缘压缩矫正率均明显高于对照组（P〈0．05）。【结论】长节段后入路椎弓根钉内固定术可有效矫正重度胸腰段脊柱骨折患者后凸畸形，恢复椎体高度，并有效预防远期矫正丢失。值得临床推广应用。
[Objective]To investigate the clinical effect of different segmental fixation of posterior pediele screw in the treatment Of severe thoraeolumbar spine fracture.[Methods]The clinical data of 67 cases of severe thoracolumbar fractures from January 2012 to December 2014 in our hospital were retrospectively analyzed and divided into the observation group （ n = 36） and the control group （ n = 31） according to the different operation, the control group underwent posterior short segment pedicle screw fixation, and the observation group was treated with posterior long segment pedicle screw fixation. The operation condition, , nerve function, vertebral body anterior compression and Cobb angle were compared between the two groups. [Results]The operation time of the observation group was （158.7±33.9） min, significantly longer than （113.6±24.2） min （ P 〈0.05） ; The amount of intraoperative bleeding was （386.4±122.9） mL, significantly higher than that of the control group （ ＋ 183.7± 57.8） mL （ P 〈0.05） ; 3 months after operation, the spinal cord nerve function Frankel grade of the patients in both groups increased significantly （ P 〈0.05）, but there was no significant difference between the two groups （ P 〉0.05） ; 12 months after operation, the vertebral compression degree and Cobb angle of the patients in the two groups were significantly better than those before surgery （ P 〈0.05）; Cobb angle, Cobb angle correction rate, Cobb angle correction loss, vertebral leading edge correction loss of the observation group were significantly lower than those of the control group; but the vertebral anterior compression degree and vertebral anterior compression correction rate were significantly higher than those of the control group （ P 〈0.05）.[Conclusion] Long segment posterior pedicle screw internal fixation can effectively correct kyphosis of severe thoracolumbar spinal fracture and restore vertebral body height, and prevent the long-term correction loss, It is worthy
出处
《医学临床研究》
CAS
2016年第12期2326-2328,2331,共4页
Journal of Clinical Research
关键词
骨钉
骨折固定术
内
脊柱骨折/外科学
胸椎/损伤
腰椎/损伤
回顾性研究
Bone Nails
Fracture Fixation, Internal
Spinal Fraetures/SU
Thoracic Vertebrae/IN Lumbar Vertebrae/IN
Retrospective Studies
