后路钉棒系统内固定结合后外侧植骨治疗胸腰段脊椎骨折

Posterior screw-rod system internal fixation combined with posterolateral bone grafting in treatment of thoracolumbar vertebral fractures

目的：探讨后路钉棒系统内固定结合后外侧植骨治疗胸腰段脊椎骨折的临床疗效。方法：回顾性分析72例胸腰段骨折住院患者临床资料,均采用后路钉棒系统内固定结合后外侧植骨融合治疗。随访1-3年,比较手术前后伤椎前后缘高度、Cobb角及脊髓神经功能恢复情况。结果：手术均获成功,均达到解剖复位。按照JOA评分标准,患者术后治疗优良率90.28%显著优于术前的12.50%（P〈0.01）;手术前后所摄X线片显示,患者术后椎体前、后缘高度、Cobb角以及脊髓神经功能恢复的恢复均显著优于术前,差异均有统计学意义（P〈0.05）。结论：后路钉棒系统内固定结合外侧植骨治疗胸腰段脊椎骨折能有效的使伤椎复位,重建椎体的稳定性,具有固定节段少、创伤小、固定可靠、手术操作简单等优点,值得推广。

Objective To explore the posterior pedicle screw fixation combined with posterolateral bone clinical curative effect in treatment of thoracolumbar vertebral fractures.Methods A retrospective analysis of 72 cases of thoracolumbar fractures in patients with clinical data,using posterior pedicle screw fixation combined with posterolateral fusion in the treatment of.Patients were followed up for 1-3 years after operation,the vertebral posterior height,Cobb angle and spinal nerve function recovery.Results The operation was successful,anatomic reduction was achieved.According to the JOA score standard,the excellent and good rate was more than 90.28% of preoperative treatment 12.50% patients（P〈0.01） before and after the operation;the X-ray shows,postoperative anterior,posterior height,Cobb angle and the recovery of neurological function recovery were signifcantly better than preoperative,the differences were statistically signifcant（P〈0.05）.Conclusion Posterior pedicle screw fixation combined with lateral can effectively make the vertebral fracture reduction and bone graft for treatment of thoracolumbar spinal stability reconstruction,vertebral body,has the advantages of fewer fixed segments,small trauma,reliable fixation,simple operation,worthy of promotion.