微创经皮椎弓根螺钉Sextant系统内固定治疗胸腰椎骨折41例效果观察及护理

Observation on the clinical effect of internal fixation with minimally invasive percutaneous pedicle screw Sextant system in the treatment of 41 cases of thoracolumbar fractures and nursing care

目的:探讨微创经皮椎弓根螺钉Sextant系统内固定治疗胸腰椎骨折患者的临床效果及护理方法。方法:将82例胸腰椎骨折患者随机分为观察组和对照组各41例,对照组予开放椎弓根钉固定及常规护理,观察组予微创经皮椎弓根螺钉Sextant系统内固定治疗及临床护理。结果:观察组手术指标优于对照组(P<0.05);两组术后椎体前缘高度比值、椎间隙高度、矢状位指数、后凸Cobb角、VAS评分优于术前(P<0.05),观察组术后VAS评分低于对照组(P<0.05)。结论:微创经皮椎弓根螺钉Sextant系统内固定治疗胸腰椎骨折患者效果显著,且创伤小、恢复快,精心护理是保证手术成功的关键。

Objective： To explore the clinical effect of internal fixation with minimally invasive percutaneous pedicle screw Sextant system and nursing methods in the treatment of thoracolumbar fractures. Methods： 82 patients with thoracolumbar fracture were randomly divided into the observation group and the control group（ 41 cases in each group）. The patients in the control group were treated with open pedicle screw fixation and given routine nursing care and the patients in the observation group were treated with the internal fixation with minimally invasive percutaneous pedicle screw Sextant system and clinical nursing care. Results： The operation index was better in the observation group than the control group（ P〈0. 05）; the vertebral height ratio,intervertebral height,sagittal index,Cobb angle and score of VAS were superior after operation to those before operation in the two groups（ P〈0. 05）; VAS score was lower in the observation group than the control group after operation（ P〈0. 05）. Conclusion： The effect of minimally invasive percutaneous pedicle screw Sextant system for the treatment of thoracolumbar fractures is significant and it has the advantages of the little trauma and fast recovery,the meticulous nursing care is the key to the success of surgery.