手法整复配合悬吊牵引治疗单纯性胸腰椎压缩骨折86例

Manipulation Combined with Suspension Traction in the Treatment of 86 Cases of Simple Thoracolumbar Compression Fracture

目的观察手法整复配合悬吊牵引及功能锻炼治疗单纯性胸腰椎压缩骨折的疗效。方法对86例单纯、屈曲性胸腰椎压缩性骨折患者采用手法复位配合布带悬吊牵引,腰背肌功能锻炼治疗,8～10周后带腰背支具下床活动,在X线片上测量治疗前后压缩椎体前缘及侧面高度,脊柱后凸Cobb角并进行比较分析。结果对86例病人进行出院后经1～3年随访,82例症状及阳性体症基本消失,脊柱稳定性及活动功能恢复,优良率达95.34%。压缩椎体前缘高度、压缩椎体侧面高度、脊柱后凸Cobb角有明显改善。结论该疗法可使病椎椎体恢复一定高度,维持脊柱稳定性,复位效果佳,明显改善患者症状,经济、可靠、实用,是一种理想的非手术疗法。

Objective To observe the effect of manipulation combined with suspension traction and functional exercise in the treatment of simple thoracolumbar compression fracture.Methods 86 cases of simple and flexion thoracolumbar compression fracture were treated with manual reduction combined with suspension traction,lumbodorsal muscle with functional exercise. After 8-10 weeks,the patients did out-of-bed activity with lumbodorsal brace. The heights of anterior and lateral borders of the compressed vertebral bodies and kyphosis cobb angles before and after the treatment were measured on X-ray pictures,and the results were compared and analyzed.Results 1-3 years＇ follow-up visit of the 86 patients showed that the symptoms and positive signs of 82 cases disappeared,and the stability and activity function of the spinal column recovered. The excellent rate was 95.34%. The heights of anterior and lateral borders of the compressed vertebral bodies and kyphosis cobb angles improved significantly.Conclusion This treatment can restore the diseased vertebral body to a certain height,and maintain the stability of the spinal column. The recovery effect is favorable,and can obviously improve the patients＇ symptoms. It is an economical,reliable and practical non-surgical treatment.