后路固定非融合术治疗胸腰椎骨折的临床研究

Clinical Study of Posterior Fixation Without Fusion in the Treatment of Thoracolumbar Vertebral Fractures

目的探讨后路固定非融合术治疗胸腰椎骨折的临床效果。方法将2012年6月至2013年6月我院收治的58例胸腰椎骨折患者(≤40岁)根据手术方法分为研究组30例和对照组28例,研究组采取后路固定非融合术治疗,对照组采取后路固定融合术治疗。术后随访,对比分析两组患者的手术效果。结果研究组患者骨折椎体高度总丢失显著低于对照组,差异有统计意义(P<0.05);两组后凸角变化生率差异无统计意义(P>0.05),两组预后差异有统计意义(P<0.05)。结论在胸腰椎骨折中采取后路固定非融合术治疗,可完整保留固定节段功能,获得良好的矢状位排列,临床效果显著,主要适用于年轻患者。

Objective To explore the clinical effect of posterior fixation wtihout fusion in the treatment of thoracolumbar vertebral fractures. Methods 58 cases of patients with thoracolumbar vertebral fractures admitted to our hospital from June 2012 to June 2013 were selected and divided into two groups according to the surgical methods. 30 cases of study group received posterior fixation without fusion,while 28 cases of control group received posterior fusion and fixation. After surgery, both groups were followed up to compare and analyze the surgery effects. Results The total height loss of fracture body of study group was significantly lower than that of control group（P〈0.05）.No statistical difference was found between two groups in the change of kyphotic angle（P〉0.05）. The difference between two groups in the prognosis was statistically significant（P〈0.05）. Conclusions Posterior fixation without fusion has significant efficacy for the treatment of thoracolumbar vertebral fractures, which can completely reserve the function of fixed segment, and obtain good sagittal alignment.Simultaneously, it is mainly applicable to younger patients.