悬吊复位法治疗胸腰椎压缩性骨折Cobb氏角的改变及远期疗效观察

TREATMENT OF COBB'S ANGLE CHANGE IN COMPRESSION THORACOLUMVAR SPINE FRACTURE BY SUSPENSION REDUCTION METHOD AND A LONG-TERM THERAPEUTIC-EFFECT OBSERVATION

为观察悬吊复位法治疗单纯胸腰椎屈曲型压缩性骨折的近远期疗效。将92例患者随机分为两组,治疗组48例,采用腰背过伸悬吊复位加局部垫枕练功治疗;对照组44例,采用骨折局部垫枕和练功的自身复位治疗。观察两组治疗后患者椎体复位、Cobb氏角的改变及远期疗效。结果显示两组椎体复位、Cobb氏角的改变,各组自身比较差异显著(P<0.01),而两组差值对比治疗组优于对照组(P<0.05)。远期疗效统计显示,治疗组总有效率95.65%,优于对照组的90%(P<0.05)。表明悬吊复位法对胸腰椎骨折复位率高,Cobb氏角改善明显。而Cobb氏角的改变程度与远期疗效也成正比。

In order to observe the short-and long-term therapeutic effects of suspension reduction method(SRM) on flexion or compression thoracolumbar spine fracture(CTLSF),92 cases of CTLSF were randomly divided into the treated(n=48 cases) and the control(n=44 cases) groups,which were treated by SRM in lumbar hyperextension and exercises with a local pad pillow and by self-reduction with a local pad pillow in the fracture site and exercises,respectively;the vertebral body reductions,Cobb's angle changes and long-term therapeutic effects of the two groups were observed after the treatment.The results showed that the self-comparisons of the two groups showed significant differences in the vertebral body reduction and Cobb's angle change(P < 0.01);the comparison of the each-group difference showed an advantage of the treated over the control(P < 0.05);the long-term therapeutic-effect investigations showed that the total effective rates of the treated and the control were 95.65 % and 90 %,respectively with an advantage of the treated over the control(P < 0.05),suggesting that SRM produces a high reduction rate of CTLSF and a significant improvement of the Cobb's angle change,which is positively correlated to the long-term results.