经皮微创相邻节段弓根钉植入治疗单节段胸腰椎脊柱骨折

Treatment of Single - stage Thoracolumbar Vertebral Fracture with Percutaneous Minimally Invasive Segmental Pedicle Screw Implantation

目的：对经皮微创相邻节段弓根钉植入治疗单节段胸腰椎脊柱骨折的效果进行探讨.方法：以2013年5月~2016年12月期间本院97例单节段胸腰椎脊柱骨折患者作为研究对象,依照随机原则分成对照组（48例）和观察组（49例）.一组采取开放弓根钉内固定术治疗（对照组）,一组采取经皮微创相邻节段弓根钉植入术治疗（观察组）.将2组的手术相关指标、疗效以及不同阶段的椎体前缘高度、后凸Cobb氏角进行比较.结果：在手术相关指标方面,除手术用时外,剩余指标均是观察组数据优于对照组（p〈0.05）;在疗效方面,观察组治疗总有效率更高（p〈0.05）;在椎体前缘高度、后凸Cobb氏角方面,术前对比无统计学意义,术后（1周、3个月）观察组的后凸Cobb氏角更佳（p〈0.05）,椎体前缘高度在术后对比无显著差异（p〉0.05）.结论：单节段胸腰椎脊柱骨折采取经皮微创相邻节段弓根钉植入治疗方案可行性较高.

Objective： To explore the effect of percutaneous minimally invasive segmental pedicle screw implantation in the treatment of single segmental tboracolumbar spine fractures. Methods： One hundred and seventy - nine patients with thoracolumbar spine fractures were enrolled. The patients were divided into control group （48n） and observation group （49n） according to the principle of randomiza- tion. One group underwent open pedicle screw fixation （control group）, one group underwent percutaneous minimally invasive segmental pedicle screw implantation （ observation group）. The operative index, curative effect, height of anterior vertebral body and kyphotic angle of kyphosis were compared between two groups. Result： In the total effective rate of treatment, the total effective rate of the observation group was higher （ p 〈 0.05 ） ; the rate of the anterior border of the vertebral body was significantly higher than that of the control group （ P 〈 0.05 ） and the anterior height of the vertebral body in postoperative （ P 〉 0.05 ）, the postoperative （ 1 week, 3 months） group had better kyphosis angle. Conclusion： The feasibility of percutaneous minimally invasive treatment of segmental tboracolumbar spine fractures is feasible.