摘要
目的研究脊柱胸腰段不稳定性骨折的手术治疗效果。方法选取2015年2月~2017年4月期间在本院接受诊治的62例脊柱胸腰段不稳定性骨折患者,依据随机的方式将患者分成研究组与对照组,每组31例;研究组选用内固定结合椎体成形手术或者椎体植骨手术治疗,对照组实施常规后路复位固定手术治疗,观察分析两组的手术情况。结果所有入选患者均通过手术治疗,观察分析组间手术时间、术中出血量及疼痛评分等手术指标显示,研究组均明显优于对照组(P<0.05),对组间患者的椎体后缘高度及后凸Cobb’s角改善情况对比显示,两组患者无明显差异(P>0.05)。结论脊柱胸腰段不稳定性骨折患者的治疗中选用内固定结合椎体成形手术或者椎体植骨手术治疗,具有显著的临床效果,临床应用价值更高。
Objective To investigate the surgical treatment of unstable thoracolumbar fractures.Methods According to the random way the patients were divided into study group and control group,31cases in each group;study group in the selection of internal fixation combined with percutaneous vertebroplasty or bone grafting surgery,the control group received routine posterior reduction analysis of surgical fixation,the two groups were observed.Results All patients were treated by surgery,observation and analysis showed group operation time,intraoperative blood loss and pain score index of operation of the study group were significantly better than the control group(P<0.05),Among the patients with vertebral height and kyphosis Cobb improvement of s angle comparison shows no significant differences in the two(P>0.05).Conclusion Patients with unstable thoracolumbar spine in the treatment of the internal fixation combined with vertebroplasty surgery with internal fixation combined with vertebral bone grafting in the treatment of fractures,surgery can get good results with convenient operation,high safety,higher clinical value.
作者
刘传法
LIU Chuan-fa(Shandong Province, Feicheng City Hospital of traditional Chinese medicine orthopedics, Shandong Feicheng 271600, China)
出处
《中国处方药》
2017年第12期153-154,共2页
Journal of China Prescription Drug
关键词
脊柱胸腰段
不稳定骨折
手术治疗
临床效果
Thoracolumbar spine
Unstable fracture
Surgical treatment
Clinical effect
