经伤椎椎弓根置钉椎体内植骨治疗胸腰椎骨折的临床效果观察

Observation of clinical effect by injured vertebral pedicle screw fixation vertebral body graft in the treatment of thoracolumbar vertebral fracture

目的分析经伤椎椎弓根置钉椎体内植骨治疗胸腰椎骨折的临床效果。方法 78例胸腰椎骨折患者,采用信封随机分组方案分为常规组与实验组,每组39例。常规组与实验组分别采取常规复位内固定与经伤椎椎弓根置钉椎体内植骨治疗。观察比较两组治疗效果。结果实验组治疗优良率为89.74%,明显高于常规组的69.23%,差异具有统计学意义(P<0.05)。治疗后实验组的伤椎前高压缩比为(92.65±4.12)%,高于常规组的(81.65±3.98)%,差异具有统计学意义(P<0.05)。结论对胸腰椎骨折患者采取经伤椎椎弓根置钉椎体内植骨治疗的疗效显著,值得推荐采纳。

Objective To analyze clinical effect by injured vertebral pedicle screw fixation vertebral body graft in the treatment of thoracolumbar vertebral fracture. Methods A total of 78 patients with thoracolumbar vertebral fracture were randomly divided into conventional group and experimental group, with 39 cases in each group. The conventional group received conventional reduction internal fixation for treatment, and the experimental group received injured vertebral pedicle screw fixation vertebral body graft for treatment. Observation and comparison were made on curative effects between the two groups. Results The experimental group had obviously higher good rate in treatment as 89.74% than 69.23% in the conventional group, and the difference had statistical significance （P〈0.05）. After treatment, the experimental group had higher injured vertebral anterior heights compression ratio as （92.65 ±4.12）% than （81.65 ± 3.98）% in the conventional group, and their difference had statistical significance （P〈0.05）. Conclusion Implement of injured vertebral pedicle screw fixation vertebral body graft shows excellent curative effect.for thoracolumbar vertebral fracture patients, and it is worth recommending and applying.