摘要
目的探讨后路内固定术治疗胸腰椎多节段脊柱骨折的临床疗效。方法选取70例胸腰椎多节段骨折患者,采用后路内固定术治疗。测量患者手术前后后凸角度数、椎体前缘高度,用Frankel神经功能分级系统评价神经功能的恢复情况。结果胸腰椎多节段脊柱骨折患者术前后凸角度为(18.03±1.98)°,椎体前缘高度(21.07±3.10)mm;术后6个月后凸角度为(6.01±1.33)°,椎体前缘高度为(31.79±2.54)mm。术后6个月,患者的后凸角度明显下降,椎体前缘高度明显增加,差异均有统计学意义(t分别=18.02、15.28,P均<0.05)。术前Frankel分级为A级20例、B级14例、C级21例、D级9例、E级6例;术后Frankel分级为A级16例、B级7例、C级8例、D级9例、E级30例,术后Frankel分级明显改善,差异有统计学意义(χ2=26.41,P<0.05)。结论后路内固定术治疗胸腰椎多节段脊柱骨折临床疗效较好。
Objective To investigate the clinical efficacy of posterior internal fixation in the treatment of multiple-level thoracolumbar fractures.Methods Totally 70 cases of multiple-level thoracolumbar fractures were treated by posterior internal fixation.The degree of kyphosis and the height of anterior vertebral body were measured before and after operation.The recovery of neurological function was evaluated by Frankel neural function classification system.Results The degree of kyphosis was(18.03±1.98)°and anterior vertebral height was(21.07±3.10)mm before operation.After 6 months of operation,the degree of kyphosis was(6.01±1.33)°and anterior vertebral height was(31.79±2.54)mm.Compared with the preoperative,the kyphosis angle decreased significantly and the anterior vertebral height increased significantly(t=18.02,15.28,P<0.05).Before operation,the Frankel scale assessment showed that 20 cases of grade A,14 cases of grade B,21 cases of grade C,9 cases of grade D,6 cases of grade E.while after operation,the Frankel classification showed that 16 patients was grade A,7 patients was grade B,8 patients was grade C,9 patients was grade D,30 patients was grade E.The difference in Frankel classification was statistically significant(χ2=26.41,P<0.05).Conclusion Posterior internal fixation is effective in the treatment of thoracolumbar spinal fractures.
作者
沈晓震
陈有芬
郑艳峰
SHEN Xiaozhen;CHEN Youfen;ZHENG Yanfeng(Department of Orthopedics,Jinhua People’s Hospital,Jinhua 321000,China)
出处
《全科医学临床与教育》
2018年第4期403-405,共3页
Clinical Education of General Practice
关键词
胸腰椎
多节段
脊柱骨折
内固定
thoracic and lumbar vertebrae
multiple level
spinal fractures
internal fixation
