摘要
目的 探讨单节胸腰段椎体骨折Wiltse间隙入路与传统正中入路椎弓根螺钉内固定术的效果。方法 前瞻性纳入2020-10—2021-10于郑州大学第二附属医院骨一科行椎弓根螺钉内固定术的50例胸腰段椎体骨折患者,根据手术入路方式分为传统正中入路组(正中入路组)和Wiltse间隙入路组(Wiltse入路组)。比较2组患者的基线资料。记录手术时间、术中出血量、术中透视次数、手术前后的椎体前缘高度和Cobb角。术后1周、1个月和末次随访时,记录视觉模拟评分法(VAS)评分。结果 2组患者的基线资料差异无统计学意义(P>0.05)。Wiltse入路组患者的手术时间、术中出血量(短)少于正中入路组,差异有统计学意义(P<0.05);2组术中透视次数差异无统计学意义(P>0.05)。2组患者术后的椎体前缘高度及Cobb角均较术前明显改善,差异有统计学意义(P<0.05);但组间差异无统计学意义(P>0.05)。2组患者术后的VAS评分均较术前显著改善,其中Wiltse入路组患者的改善效果优于正中入路组,差异有统计学意义(P<0.05)。结论 与传统正中入路比较,采用Wiltse间隙入路实施椎弓根螺钉内固定术治疗单节胸腰段椎体骨折创伤轻,且具有改善椎体前缘高度及Cobb角等优势。
Objective To investigate the effect of Wiltse space approach and traditional median approach in treatment of single level thoracolumbar vertebral fracture. Methods Prospectively included 50 patients with thoracolumbar vertebral fracture who underwent pedicle screw internal fixation in the First Department of Osteology, the Second Affiliated Hospital of Zhengzhou University from October 2020 to October 2021. According to the surgical approach, they were divided into the traditional median approach group(median group) and the Wiltse interval approach group(Wiltse interval group).The baseline data of the two groups were compared. Record the operation time, intraoperative blood loss, intraoperative fluoroscopy times, anterior vertebral height and Cobb angle were recorded before and after the operation.Visual analogue scale(VAS) was recorded at 1 week, 1 month and the last follow-up.Results There was no significant difference between the two groups in baseline data(P>0.05). The operation duration and intraoperative bleeding volume of patients in Wiltse space group were less than those of the median group, and the difference was statistically significant(P<0.05);There was no significant difference in the number of times of intraoperative fluoroscopy between the two groups(P>0.05). The anterior height of vertebral body and Cobb angle of the two groups were significantly improved after operation compared with those before operation(P<0.05), but there was no significant difference between the two groups(P>0.05). The VAS scores of patients in both groups after operation were significantly improved compared with those before operation, and the improvement effect of patients in the Wiltse interval group was better than that of the median group. The difference was statistically significant(P<0.05).Conclusion Compared with the traditional median approach, the Wiltse space approach for pedicle screw internal fixation of single thoracolumbar vertebral fracture has the advantages of improving the height of the anterior edge of th
作者
王赵洋
高宜川
徐雪山
刘冰洁
张明生
Wang Zhaoyang;Gao Yichuan;Xu xueshan;Liu Binje;Zhang Mingsheng(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)
出处
《河南外科学杂志》
2023年第1期6-8,共3页
Henan Journal of Surgery
基金
河南省科学技术厅资助项目(182102310550)。
