前后路矫形融合术治疗下颈椎骨折的临床效果分析

Analysis of the Clinical Effect of Anterior and Posterior Instrumentation and Fusion for the Treatment of Cervical Spine Fracture

目的:探讨前后路矫形融合术治疗下颈椎骨折的临床效果。方法:选取下颈椎骨折患者110例,根据随机抽签原则分为两组,其中进行前路手术治疗的55例患者为治疗组,进行后路手术治疗的55例患者为对照组,并对两组患者的手术情况进行比较。结果:治疗组的手术时间与术中出血量明显少于对照组,差异均有统计学意义(P<0.05);治疗后两组的脊柱后凸角矫正角度较治疗前均明显降低(P<0.05),两组矫正角度比较差异无统计学意义(P>0.05)。结论:(1)前后路矫形融合术对下颈椎骨治疗均具有明显的临床效果;(2)比较而言,前路手术对患者的创伤更小,有利于疾病恢复,情况允许时建议采用。

Objective：To investigate the clinical effect of anterior and posterior instrumentation and fusion for the treatment of lower cervical fracture.Method：110 cases of cervical vertebra fracture were selected,55 patients were given the anterior surgery for the treatment group,55 patients were given posterior approach operation for the control group,the operation conditions were compared between the two groups.Result：The operative time and blood loss in the treatment group were significantly less than the control group,the differences were statistically significant（P〈0.05）;the spinal kyphosis correction angle decreased obviously in the two groups after treatment（P〈0.05）;the correction angle difference between the two groups was not statistically significant after treatment（P〉0.05）.Conclusion：（1）The anterior and posterior spinal fusion with obvious clinical effect on the treatment of lower cervical vertebrae;（2）comparatively,anterior operation on the patient＆#39;s wound is smaller,is conducive to the recovery of the disease,in the case of permit conditions recommended.