摘要
目的:分析在脊柱骨折的治疗中Sextant微创经皮椎弓根螺钉内固定术与开放式椎弓根螺钉内固定术对影像学指标及再发骨折的影响。方法:以随机数字表将2020年3月至2021年5月于我院治疗的80例脊柱骨折患者简单随机分为观察组(Sextant内固定术)与对照组(开放式内固定术),各40例。比较两组手术期间各指标;术前及术后3月的影像学指标、VAS、ODI、JOA评分及并发症发生情况。结果:手术期间,观察组切口长度、术中出血量、术后引流量、手术时间较对照组均明显更低(均P<0.05)。术前,两组影像学指标及VAS、ODI、JOA评分差异均无统计学意义(均P>0.05)。术后3月,两组影像学指标(SI、COBB、伤椎前缘高度)均较术前有明显变化(均P<0.05),SI升高值、COBB下降值、伤椎前缘高度升高值均以观察组大于对照组(均P<0.05);两组VAS、JOA、ODI均较术前有明显变化(均P<0.05),VAS下降值、JOA升高值、ODI下降值均以观察组大于对照组(均P<0.05);相较于对照组25.00%的术后并发症总发生率,观察组为7.50%明显更低(P<0.05)。结论:相较于开放式内固定术,采用Sextant内固定术治疗脊柱骨折患者,更能保护其椎体稳定及脊髓神经功能,减少术后并发症发生。
Objective:To analyze the effects of Sextant minimally invasive percutaneous pedicle screw internal fixation and open pedicle screw internal fixation on imaging indicators and recurrent fractures in the treatment of spinal fractures.Methods:A total of 80 patients with spinal fractures treated in our hospital from March 2020 to May 2021 were randomly divided into an observation group(Sextant internal fixation)and a control group(open internal fixation)by simple random number table method,40 cases in each.The indexes during operation,imaging indexes,VAS,ODI,JOA scores before operation and 3 months after operation,and the incidence of complications were compared between the two groups.Results:During the operation,the incision length,intraoperative blood loss,postoperative drainage volume and operation time of the observation group were significantly lower than those of the control group(all P<0.05).Before surgery,there were no statistical differences in imaging indicators,VAS,ODI and JOA scores between the two groups(all P>0.05).Three months after operation,the imaging indexes(SI,COBB,anterior edge height of injured vertebrae)in both groups showed significant changes compared with those before surgery(all P<0.05),the increased value of SI,decreased value of COBB and increased height of injured vertebral front in the observation group were greater than those in the control group(all P<0.05);VAS,JOA,and ODI in both groups showed significant changes compared with those before surgery(all P<0.05),the decrease of VAS,increase of JOA and decrease of ODI in the observation group were all greater than those in the control group(all P<0.05);Compared with 25.00%of the total incidence of postoperative complications in the control group,the observation group was significantly lower at 7.50%(P<0.05).Conclusion:Compared with open pedicle screw internal fixation,Sextant minimally invasive percutaneous pedicle screw internal fixation in the treatment of spinal fractures can better protect the vertebral body stability and spinal nerv
作者
张俊
陈进平
肖涛
张映波
ZHANG Jun;CHEN Jinping;XIAO Tao(Nanchong Central Hospital,Sichuan Nanchong 637900,China)
出处
《河北医学》
CAS
2023年第3期441-446,共6页
Hebei Medicine
基金
2019年四川省医学会骨科专项科研课题项目,(编号:2019SAT12)。
