跨伤椎固定与经伤椎固定治疗胸腰段脊柱骨折的疗效对比

The Across Vertebral Fixation and Vertebral Fixation for the Treatment of Thoracolumbar Spinal Fracture Curative Effect

目的整理该院胸腰段脊柱骨折患者的临床治疗资料,探讨跨伤椎固定疗法和经伤椎固定疗法对胸腰段脊柱骨折患者的临床治疗效果。方法选取该院2015年1—10月收治的106例胸腰段脊柱骨折患者,将其随机分为观察组和对比组,每组各53例患者,观察组采用跨伤椎固定疗法进行固定治疗,对比组则采用经伤椎固定疗法进行固定治疗,比较两组患者的预后效果,即术后JOA评分与Cobb角。结果两组手术前后JOA评分与VAS评分差异无统计学意义(P>0.05),观察组术后(2.26±7.48)°,术后半年(3.16±6.37)°,对比组术后(8.34±5.96)°,术后半年(9.48±6.73)°,差异有统计学意义(P<0.05)。结论胸腰段脊柱骨折发病率较高,患者需要通过固定疗法进行治疗,跨伤椎固定与经伤椎固定疗法的近期疗效相似,但经伤椎固定疗法的远期疗效更高,值得临床推广。

Objective To organize clinical data in our hospital patients with thoracolumbar spine fractures, and explore cross-therapy and vertebral fixation by vertebral fixation therapy on clinical outcomes in patients with thoracolumbar spine fractures. Methods 106 cases of thoracolumbar spine fractures were treated in our hospital from January 2015 to October 2015 were treated, were randomly divided into two groups and the control group, 53 patients in each group, the observation group with a cross vertebral fixation fixed therapy treatment comparison group is used by the fixed vertebral fixation therapies, the prognosis of patients were compared,JOA score and Cobb angle. Results The two groups before and after surgery JOA score and VAS score was no significant difference was not statistically significant（P〈0.05）, after the observation group（2.26 ± 7.48） degrees, after six months（3.16 ± 6.37） degrees, compared to postoperative（8.34 ±5.96） degrees, after six months（9.48 ± 6.73） degrees, significant differences were statistically significant（P〈0.05）,Conclusion Thoracolumbar spine fractures have a higher prevalence, patients need to be treated through therapy fixed,cross similar short-term effect vertebral fixation and vertebral fixation through therapy, but by higher long-term efficacy of therapy vertebral fixation, worthy of promotion.