腰椎压缩型骨折的临床治疗体会

Clinical Experience in Treating Lumbar Compressed Fracture

[目的]探讨腰椎压缩型骨折的治疗方法的选择。[方法]腰椎压缩型骨折患者137例,分别采用非手术治疗、AF钉、Z-Plate钢板内固定、椎体后凸成形术治疗。[结果]137例骨折均愈合,愈合时间10～14周,平均(12±0.6)周。疼痛视觉模拟评分(VAS)、Frankel评分、Cobb’s角、椎体前、后缘高度等治疗后均明显改善,无手术后遗症及伤椎高度明显丢失情况。[结论]腰椎压缩型骨折应根据椎体压缩程度、椎管内骨性占位程度、神经损伤程度、脊柱结构稳定性或骨折脱位等选择治疗方法。稳定性腰椎骨折宜采用卧床休息、腰部垫枕等治疗。

[Objective]To discuss the methods selection for lumbar compressed fracture. [Method]137 cases were respectively treated with non-operation, AF nail,Z-Plate steel board internal fixation and protruding formation behind centrum. [Result] All were cured in 10-14w, （12±0.6）w in average;the pain VAS score,Frankel score,Cobb＇s angle,the height of front and back edge of centrum were all relieved a lot after treatment,without operation sequela or marked loss of injured vertebra. [Conclusion]The methods shall be selected for lumbar compressed fracture under compressing degree, bone occupation degree in lumbar tube, nerve injure degree, stability of spine structure or fracture dislocation,etc. The stable fracture shall rest in bed with cushion under back.