胸腰椎骨折在TLICS评分系统指导下的疗效观察

Observation on the Efficacy of Thoracolumbar Fractures in the TLICS Scoring System

目的探讨胸腰椎骨折在TLICS评分系统指导下的疗效。方法通过对68例胸腰椎骨折病例的治疗,回顾性分析TLICS评分系统对胸腰骨折治疗的临床指导价值,比较治疗前、后伤椎椎前高度、后凸Cobb角、VAS评分、改良JOA评分及Frankel脊髓神经功能分级指标。结果各病例均获得良好随访,各患者治疗后均获得良好复位,无手术严重并发症(如内固定物松动、断裂及脊髓、神经损伤),治疗前后VAS评分、伤椎椎前高度、后凸Cobb角、改良JOA评分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Frankel脊髓神经功能评分具有统计学意义(P<0.05)。结论 TLISS评分系统简单、实用、可操作性高,对临床治疗方案有明确指导作用。

Objective To investigate the effect of the treatment of thoracolumbar vertebral fractures in the TLICS scoring system. Methods 68 cases with thoracolumbar fracture were retrospectively analyze the TLICS score system on the clinical value of the treatment of thoracolumbar fracture, compared with those before the treatment, after injury vertebral vertebral height, Cobb angle, VAS score, modified JOA score and Frankel neurological classification index. Results All cases had obtained good follow-up, the patients after treatment were obtained good reduction, no major complications （such as internal fixation loosening, fracture and spinal cord, nerve injury）, before and after the treatment, the VAS score, injured vertebral vertebral front height, after Cobb angle, improved JOA score comparisons were statistically significant （P〈0.05）. Spinal cord neurological function was improved, before and after the treatment, the Frankel neurological function scores were statistically significant （P〈0.05）. Conclusion The TLISS scoring system is simple, practical and operable, and it can be used to guide clinical treatment.