内固定结合椎体成形术治疗脊柱骨折的临床效果

Clinical effect of internal fixation combined with vertebroplasty in treatment of spinal fractures

目的探讨对脊柱骨折患者采用内固定结合椎体成形术进行治疗的临床疗效。方法收集2012年5月至2015年5月间接诊的脊柱骨折患者60例进行临床研究,通过随机分组法将所有患者随机分成对照组(n=30例)和研究组(n=30例)。对照组30例患者施行单纯内固定方案进行治疗,研究组30例患者则施行内固定结合椎体成形术方案进行治疗。观察和对比两组患者的临床治疗效果及相关临床指标的变化情况。结果经治疗后,研究组患者胸腰椎功能恢复的优良率(96.67%)明显高于对照组(76.67%),差异均有统计学意义(P均<0.05)。两组患者治疗后的伤椎前高压缩比、Cobb角及椎管侵占率与治疗前相比均有显著改善,差异均有统计学意义(P均<0.05)。研究组患者治疗后的Frankel分级明显优于对照组,(P<0.05)差异均有统计学意义。结论对脊柱骨折患者采用内固定结合椎体成形术进行治疗具有良好的临床价值,值得推广应用。

Objective To investigate the clinical effect of internal fixation combined with vertebralplasty in the treatment of spinal fractures. Methods Sixty patients with spinal fractures were selected from May 2012 to May 2015 and were randomly divided into control group （n= 30） and study group （n= 30）. In control group, patients were treated with internal fixation therapy. While in study group, patients were treated with internal fixation combined with vertebroplasty. The clinical effect and changes in related clinical indicators were observed and compared between two groups. Results After treatment, the excellent and good rate of thoracolumbar function recovery of patients in study group （96.67%） was significantly higher than that in control group （76.67%） （P〈0.05）.In addition, compared with the conditions before treatment, the injured vertebral compression ratio, Cobb angle and spinal canal occupation rate of two groups after treatment were significantly improved, and the differences were more significant in study group （P〈0.05）. The grade of Frankel in study group was significantly better than that in control group （P〈0.05）. Conclusion Internal fixation combined with vertebroplasty is clinically effective in the treatment of spinal fractures, and is worth popularization.