椎体加椎间植骨融合治疗胸腰椎爆裂性骨折的临床效果分析

Analysis of clinical effect of vertebral interbody and bone graft fusion in treatment of thoracolumbar vertebral burst fracture

目的探讨对胸腰椎爆裂性骨折患者采用椎体加椎间植骨融合方案进行治疗的临床疗效。方法收集2011年5月至2014年5月胸腰椎爆裂性骨折患者60例进行临床研究,通过随机数字列表法将所有患者随机分成对照组(n=30例)和研究组(n=30例)。两组确诊后均施行一期后路开放复位短节段内固定方案进行治疗,在此基础上,对照组30例患者加用外侧植骨融合方案辅助治疗,研究组30例患者加用椎间加椎间跖骨融合方案辅助治疗。观察和对比两组患者的临床治疗效果。结果研究组患者术后1年的伤锥Cobb角和矫正度丢失均明显低于对照组,差异有统计学意义(P<0.05)。研究组患者治疗后的神经功能恢复情况均明显优于对照组,差异均有统计学意义(P均<0.05)。结论椎体加椎间植骨融合方案在胸腰椎爆裂性骨折患者的治疗中具有良好的临床应用价值,可有效促进患者的恢复,值得进一步推广。

Objective To investigate the clinical effect of vertebral interbody and bone graft fusion in treatment of thoracolumbar vertebral burst fracture. Methods Sixty patients with thoracolumbar vertebral burst fracture undergoing treatment between May 2011and May 2014 were selected and randomly divided into control group （n=30） and study group （n=30）. After diagnosis, patients in both groups were treated with one-stage posterior short segment internal fixation for open reduction. On this basis, patients in control group were treated with posterolateral bone fusion, while those in study group were treated with intervertebral interbody metatarsal fusion.The clinical effects of these two groups were observed and compared. Results One years after operation, the Cobb angle and degree of correction lost in study group were significantly lower than those in control group （P〈0.05）.The neurological fimction recovery after treatment in study group was significantly better than that in control group（P〈0.05）. Conclusion The clinical application of vertebral interbody and bone graft fusion in treatment of thoracolumbar vertebral burst fracture is favorable, and can effectively promote the recovery of patients.