陈旧性胸腰椎脊柱骨折伴脊髓损伤患者的临床手术方法分析

Clinical surgical methods of patients with old thoracolumbar spine fracture with spinal cord injury

目的为了进一步探讨陈旧性胸腰椎脊柱骨折伴脊髓损伤患者采用前路减压植骨内固定治疗的临床实际疗效。方法选取该院2005年11月—2011年11月间入院治疗的40例陈旧性胸腰椎脊柱骨折伴脊髓损伤患者为研究对象,针对患者的相关临床资料进行了回顾性分析,针对患者采用前路减压植骨内固定治疗前后的相关临床指标进行了比较分析。结果该组患者实施前路减压植骨内固定治疗方法后Frankel分级情况得到了显著的改善,在椎体高度(后缘)、椎管狭窄程度、Cobb角等三项临床指标比较结果上看,实施手术后患者三项指标均得到了有效的改善,且治疗前后比较,P均<0.05,差异具有统计学意义。结论在临床治疗陈旧性胸腰椎脊柱骨折伴脊髓损伤过程中,采用前路减压植骨内固定治疗方法的临床治疗效果显著,是治疗陈旧性胸腰椎脊柱骨折伴脊髓损伤的安全可靠选择。

Objective To further explore the clinical efficacy of anterior decompression and bone grafting and internal fixation in the treatment of patients with old thoracolumbar spine fracture with spinal cord injury.Methods 40 cases of old thoracolumbar spine fractures with spinal cord injury hospitalized in our hospital from November 2005 to November 2011 were chosen as the research objects.The clinical data of the patients were taken for retrospective analysis.The related clinical indicators before and after the treatment of anterior decompression and internal fixation were compared.Results The Frankel Grading had been significantly improved for the group after anterior decompression and internal fixation.From the results of the comparison of the three clinical indicators of vertebral height（trailing edge）,spinal stenosis,Cobb angle point of view,the three indicators in patients after surgery had been effectively improved compared before and after treatment,P 0.05,the difference was statistically significant.Conclusion In the clinical treatment of old thoracolumbar spine fractures with spinal cord injury,the clinical effect of anterior decompression and internal fixation treatment is significant,and it is a safe and reliable choice in the treatment of old thoracolumbar spine fracture with a spinal cord injury.