摘要
目的探讨跨伤椎与经伤椎短节段内固定在胸腰椎椎体骨折的临床疗效。方法收集亳州市人民医院骨科2015年1月～2016年7月收治的50例经短节段内固定治疗的胸腰椎椎体骨折患者进行回顾性分析,采用跨伤椎短节段内固定手术的22例(对照组)和采用经伤椎短节段内固定手术的28例(实验组),比较两组患者术前、术后、术后6个月的椎体前缘高度比、矢状面Cobb角的变化及手术时间、术中出血量。结果 (1)在椎体前缘高度比、矢状面Cobb角的对照中,术前两组间比较差别无统计学意义(P>0.05),术后与术前比较差异有统计学意义(P<0.05);术后两组间对照中,实验组的椎体前缘高度比(88.8±10.5)%大于对照组(85.1±10.1)%、矢状面Cobb角(5.7±3.2)°小于对照组(6.3±4.7)°,差异有统计学意义(P<0.05);术后6个月两组间对照中,实验组的椎体前缘高度比(86.0±10.4)%大于对照组(80.6±10.4)%、矢状面Cobb角(6.8±3.6)°小于对照组(12.1±5.6)°,差异均有统计学意义(P<0.05)。(2)手术时间、出血量实验组分别为(125±20.5)min和(252.6±48.4)m L,均大于对照组(100±26.4)min和(146.4±50.2)m L,差异有统计学意义(P<0.05)。结论经伤椎短节段内固定在胸腰椎椎体骨折的后凸畸形矫正、骨折椎体高度重建、术后恢复上优于跨伤椎短节段内固定,手术时间长,出血多。
Objective To evaluate the clinical efficacy of intervertebral and transpedicular short segment fixations in thoraeolumbar vertebral fractures. Methods Data of 50 patients with thoracic and lumbar vertebral fractures was retrospectively analyzed, who were treated by short segment fixation in People＇s Hospital of Bozhou City during Jan. 2015 and Jul. 2016. Twenty-two patients with thoracolumbar vertebral fractures received intervertebral short segment fixation （ control group）, and 28 patients with thoraeolumbar vertebral fractures received transpedicular short segment fixation （test group）. Patients＇ vertebral height ratio and sagittal Cobb angle were compared before operation, after operation and at 6 months after operation. Also, the operation time and blood loss were compared. Results There was no statistical difference （ P 〈 0. 05 ） in vertebral height ratio and sagitta] Cobb angle before op- eration between the two groups （ P 〉 0. 05 ）, but had difference （ P 〈 0. 05 ） when compared with after operation. In regard of time points of after operation and at 6 months after operation,the vertebral height ratio of the test group was higher than the control group [ （ 88. 8 ± 10. 5 ） % vs. （ 85.1 ± 10. 1 ） %, （ 86. 1 ± 10. 4 ） % vs. （ 80. 6 ± 10. 4） % ], and sagittal Cobb angle was lower than that of the control group[ （5.7 ±0.2） o vs. （6. 3 ±4. 7） o, （6. 8 ±3.6） o vs. （ 12. 1 ±5. 6）°] ,with statistical difference between the two groups （P 〈0. 05）. The operative time,blood loss of the test group were higher than those of the control group [ （ 125±20. 5 ） min vs. （ 100 ± 26.4 ） rnin, （ 252. 6 ±48.4 ） mL vs. （ 146. 4± 50. 2）mL], and the differences were statistically significant （P 〈 0. 05 ）. Conclusion Transpedicular short segment fixation in thoracolumbar vertebral fractures could effectively correct kyphosis, reconstrcuct vertebral height and postoperative recovery, and it has greater surgical trauma than the inter
作者
柴大起
李丽
CItAI Da-qi LI Li(Department of Orthopedics,People＇s Hospital of Bozhou City, Bozhou,Anhui 236800, Chin)
出处
《创伤外科杂志》
2017年第5期367-370,共4页
Journal of Traumatic Surgery
关键词
胸腰椎骨折
经伤椎
跨伤椎
内固定
thoracolumbar vertebral fractures
intervertebral surgery
transpedicular vertebral surgery
internal fixation
