GSS内固定治疗胸腰段脊柱骨折的临床疗效分析

The Analysis of GSS Internal Fixation Treatment Thoracolumbar Spine Fracture Clinical Effect

目的观察GSS内固定治疗胸腰段脊柱骨折的临床疗效。方法对我院37例胸腰椎段骨折患者采用GSS内固定系统治疗。结果本组病例术后伤口全部愈合,术中、术后拍X线片,螺钉均准确经过椎弓根,固定位置良好,脊柱生理曲度恢复,椎体复位满意,无断钉、断棒、松脱和矫正度丢失。术后椎体高度显著高于术前,术后Cobb角显著低于术前,差异有统计学意义(P<0.05)。经过12个月～4年随访,均恢复良好。结论 GSS内固定治疗胸腰椎段骨折具有操作简便、安全、损伤少、复位效果好、对脊柱活动的影响较少、融合率高等优点,值得临床推广使用。

Objective Observed GSS internal fixation treatment thoracolumbar spine fractures clinical efficacy. Methods 37 thoraeolumbar fractures patients were treated by GSS internal fixation system In our hospital. Results Patients wounds healed after surgery,X-ray show through the pediele screws are accurate in surgery and post-operative,fixed position was good,curvature of the spine physical rehabilitation, vertebral reset satisfaction, no broken nails, broken sticks,loose and correct degree of loss. Vertebral body height after surgery was significandy higher than before surgery, post-operative Cobb angle was significantly lower than before surgery, the difference was statistically significant （P〈0.05）. After 12 months to 4 years of follow-up,all patients have a good recovery. Conclusion GSS internal fixation treatment thoracolumbar spine fracture, is simple, safe, damage little reduction effective, less impact on the spine fusion rate, worthy of clinical use.