微创经皮内固定、内窥镜下减压、椎体成形术治疗胸腰段椎体爆裂性骨折

Minimally invasive percutaneous fixation,endoscopic decompression,percutaneous vertebroplasty in treatment of thoracolumbar vertebral burst fracture

目的:研究胸腰段椎体爆裂性骨折患者采取微创经皮内固定、椎体成形术、内窥镜下减压结合的疗效。方法:选择34例患者采取微创经皮内固定、椎体成形术、内窥镜下减压结合治疗,随访6个月,观察疗效。结果:6个月治疗后,椎管截面积、后凸Cobb角、椎体后缘高度、椎体中央高度、椎体前缘高度较治疗前有明显改善(P<0.05),且治疗后,ODI、VAS评分较治疗前有明显降低(P<0.05)。结论:微创经皮内固定、椎体成形术、内窥镜下减压结合治疗胸腰椎爆裂性骨折,可明显改善患者症状,值得推广。

Objective To study the effect on the thoracolumbar burst fractures with minimally invasive percutaneous fixation take,vertebroplasty,combined endoscope endoscopic decompression.Methods 34 cases of patients who were treated by minimally invasive percutaneous fixation and vertebroplasty,endoscopic therapy combined with endoscopic decompression,curative effect were observed after follow-up of six months.Results After 6 months of treatment,spinal canal cross-sectional area,kyphotic Cobb angle,vertebral height,height of vertebral body,central anterior vertebral height had obvious improvement than before treatment（P〈0.05）,and after treatment,ODI,VAS score decreased significantly than before treatment（P〈0.05）,it had statistical significance.Conclusion Minimally invasive percutaneousfixation and vertebroplasty,endoscopic decompression combined with treatment of thoracolumbar burst fracture can improve the symptoms of patients,it is worthy of promotion.