TLICS评分系统指导下胸腰椎骨折治疗的临床研究

Clinical study of thoracolumbar fractures treatment under guidance of TLICS scoring system

目的探讨胸腰椎损伤的TLICS评分系统(thoracolumbar injury classification and severity score)在胸腰椎骨折治疗中应用的临床效果。方法回顾性分析胸腰椎骨折病例资料30例,比较治疗前和治疗后X线片的椎体压缩率、X线片脊柱矢状面Cobb角度以及Frankle脊髓神经功能分级指标。结果随访患者治疗后均获得良好复位,行手术治疗的无严重并发症(如内固定断裂、松动,脊髓、神经损伤),治疗前后X线片椎体压缩率、X线片脊柱矢状面Cobb角度比较均有统计学意义(P<0.05),脊髓神经功能明显改善,治疗前后Frankle脊髓神经功能评分具有统计学意义(P<0.05)。结论 TLICS评分系统简明、合理、实用性强,是目前较理想的胸腰椎骨折评分系统。

Objective To investigate the clinical effect of TLICS scoring system （thoracolumbar injury classification and severity score） in the treatment of thoracolumbar fractures. Methods The clinical information of 30 patients with thoracolumbar fractures was analyzed retrospectively. The X-ray vertebral compression ratio, X-ray spinal sagittal plane Cobb angle and Frankle spinal nerve function classification indicators before and after treatment were compared. Results Follow-up showed good reduction for all the patients and no severe postoperative complications （such as internal fixation breakage, loosening, spinal cord and nerve damage）. The X-ray vertebral compression ratios and X-ray spinal sagittal plane Cobb angles had statistically significant differences between before and after treatment （P 〈 0.05）. The spinal nerve function improved significantly and the Frankle spinal nerve function scores had statistically significant difference between before and after treatment （P 〈 0.05）. Conclusion TLICS scoring system is simple, reasonable and practical and therefore is an ideal scoring system for thoracolumbar fractures.