牵引协助法功能锻炼治疗轻度胸腰段压缩性骨折

Treatment of Mild Compression Fracture Of Thoracolumbar Spine By Functional Exercise With The Help Of Traction

目的：探讨牵引协助法功能锻炼治疗轻度胸腰段压缩性骨折的临床效果．方法：对于压缩小于1/3，后柱无损伤，无神经根损伤症状，经CT检查椎管无狭窄者通过牵引装置在患者胸腰部两侧加以相同的牵引重量进行功能锻炼，牵引重量为体重的1/8-1/5，比较损伤程度及身体素质相似的，试验组（应用上述方法）及对照组（采用传统锻炼方法）患者的疗效．结果：实验组：优45例、良10例，可4例，差1例．对照组：优30例，良12例，可10例，差8例．u=3．1589，P〈0．01，说明实验组疗效明显优于对照组．结论：牵引协助法功能锻炼是治疗轻度胸腰段压缩性骨折的理想方法．

Objective： To explore the clinical effect of functional exercise with the help of traction for treatment of mild compression fracture of thoracolumbar spine. Methods： The indication was compression volume was less than 1/3, no injury in the posterior column, no injury in the nerve root and no spinal stenosis. The same traction weight were given by traction device on both sides of the patients＇ thoracolumbar dorsum to help their functional exercise and resume the height of vertebra. The traction weight was 1/8 to 1/5 of the patients＇ body weight .The patients were randomly divided into experimental group（patients who were treated by this way） and control group （patients who adopted traditional functional exercise）, the two groups of patients are similar in both injury level and their body performance, compared the two groups＇ clinical effects. Results： 45 excellent, 10 good, 4 fair and 1 poor in the experimental group, 30 excellent, 12 good, 10 fair and 8 poor in the control group, u=3.1589, P〈0.01.The experimental group＇s clinical effect was much better. Conclusion： Treatment of mild compression fracture of thoracolumbar spine by functional exercise with the help of traction might be a promising method.