胸腰椎骨折牵引与椎体后凸成形术治疗疗效比较

Comparison Study of Thoracolumbar Spine Fracture Conservative Traction Therapy and kyphoplasty

目的探讨老年胸腰椎骨折保守牵引治疗和椎体后凸成形术两种治疗方式的疗效比较及其特点。方法对本组51例患者在临床治疗的过程中,主要采用保守牵引治疗和椎体后凸成形手术治疗。结果采用保守牵引治疗的30例患者中,显效4例,占13.3%;有效18例,占60.0%;无效8例占26.67%,总有效率为73.33%。采用椎体后凸成形手术治疗21例患者中,显效5例,占23.7%;有效14,占66.67%;无效2例,占9.52%,总有效率90.48%。结论通过对本组患者采用保守牵引治疗和椎体后凸成形治疗,效果显著,并且安全可行,值得推广。

Objective To investigate the elderly thoracolumbar spine fractures conservative traction therapy and kyphoplasty surgery both treatment efficacy and its characteristics. Methods For this group of 51 patients with clinical treatment conservative to move the lead treatment and kyphoplasty surgery. Results Obviously effective in four cases in the conservative traction therapy in 30 patients, accounting for 13.3%, effective 18 cases （60.0%）, ineffective in 8 cases （26.67%） total efficiency of 73.33%. Obviously effective in five cases in the kyphoplasty therapy in 21patients, accounting for 23.7% , effective 14 cases, accounting for 66. 67%, ineffective in 2 cases, accounting for 9.52%, the total efficiency of 90.48 %. Conclusion The conservative traction of this group of patients with treatment and vertebral kyphosis forming treatment could be drawn kyphoplasty surgical treat- ment significantly, and is safe and feasible, it is worth promoting.