三维牵引复位与两桌法复位治疗胸腰段脊柱骨折的临床应用对比研究

An clinical study of three diamension traction and two table method reduction in treatment of thoracolumbar spine fractures

目的探讨两种非手术方法治疗胸腰段脊柱骨折的临床效果。方法对38例及36例外伤性胸腰段脊柱骨折病人分别进行三维牵引复位,两桌法复位治疗,并对骨折复位程度及疗效进行观测及对比分析。结果治疗组,对照组均住院1月,均于随访六月后进行临床疗效评定。结果显示:无论三维牵引,两桌复位法,治疗前后相比病情均有明显改善(P<0.05),而三维牵引复位和两桌复位法疗效比较也存在差异(P<0.05),前者疗效更显著;(2)从椎体形态治疗前后比较,三维牵引复位椎体前缘高度增加17%左右,而两桌法复位增加11%左右;三维牵引复位突入椎管下降0.19cm,两桌复位法下降0.12cm左右。治疗前后各项指标比较有显著差异性,前者明显优于后者。结论三维牵引复位较两桌法复位能明显恢复椎体形态,为一种治疗有效率更高,更安全的非手术治疗方法。

Objective To evaluate the clinical result of two non-operative methods in treatment of thoracolumbar fractrues. Methods 38 cases and 36 cases of traumatic thoracolumbar spine fractures were treated with three diamension traction and two-table method reduction traction. The curative effect and the degree of reduction were evulated. Results Two groups were followed-up from I month to 6 months. （1）The patients condition were improved with two methods after therapy （P〈 0.05）. The clinical effect statistics difference was presented between two groups（P〈O.05）. The three diamension traction group wsa better. （2）The increased height of vertebral body in three diamension traction group（17% ）was higher than in two-table method reduction group（ l 1%） （P〈0.05）;The decreased distance of bone block in vertebral body in three diamension traction group（0.19cm）was higher than in two-table method reduction group （0.12cm）（P〈0.05）. There was significant statistics difference in two groups after therapy. The former is better. Conclusion The three diamension traction reduction can recover significantly in the shape of vertebral body. It is more efficiency and safe for spine fracture,as an nun-operative therapy.