胸腰椎骨折稳定性的影像学评价和临床疗效

Imaging Evaluation and Clinical Efficacy of Thoracolumbar Fractures

目的:评价伤椎固定和传统四钉固定在治疗胸腰椎骨折中骨折复位和临床疗效。方法:98例胸腰椎骨折患者随机分为A组(伤椎固定,45例)和B组(传统四钉固定,53例),比较两组椎上位椎间盘退变情况,伤椎楔变角度、伤椎高度以及术后下腰痛的JOA评分。结果:两组椎间盘退变等级、伤椎高度、伤椎楔变角度、术后下腰痛JOA评分比较,均有明显统计学差异(P<0.05)。结论:伤椎固定比传统四钉固定在治疗胸腰椎骨折中骨折复位满意,并发症少,疗效确切。

Objective：To evaluate the clinical effects of the fixation of the injured vertebra and the traditional four nail fixation in the treatment of thoracolumbar fractures.Methods：98 cases of thoracolumbar fracture patients were randomly divided into A group（vertebral fixation,45 cases） and group B（traditional four screw fixation,53 cases）,compared two groups of upper vertebral disc degeneration,vertebral wedge angle,vertebral height and postoperative low back pain JOA score.Results：There were significant differences between the two groups in the level of intervertebral disc degeneration,the height of the injured vertebrae,the change of the angle of the injured vertebrae,and the JOA score of lower back pain.P〈0.05.Conclusion：The fixation of the injured vertebra is better than the traditional four nail fixation in the treatment of thoracolumbar fractures.