后路手术内固定治疗脊柱骨折患者临床疗效探讨

Study on Clinical Curative Effect of Posterior Approach Internal Fixation in Treatment of Patients with Spine Fracture

目的分析后路手术内固定治疗脊柱骨折患者的临床疗效。方法方便选择该院自2010年1月—2016年12月收治的103例脊柱骨折患者,将其随机分为两组,对照组51例和观察组52例。对照组传统外侧骨融合术,观察组给予后路手术内固定术,对两组患者治疗效果进行对比。结果观察组患者治疗有效率为92.31%明显高于对照组70.59%(P<0.05)。观察组患者伤椎前、后缘高度分别为(93.03±2.81)%、(95.83±4.38)%,Cobb角为(7.39±1.29)°。观察组患者VAS评分为(1.02±0.98)分明显低于对照组(3.29±1.82)分(P<0.05)。结论给予脊柱骨折患者后路手术内固定治疗,可将患者伤椎前、后缘高度增比值提升,还可使Cobb角度明显改善,值得在临床上借鉴。

Objective To analyze the clinical curative effect of Posterior approach internal fixation in treatment of patients with spine fracture. Methods 103 cases of patients admitted and treated in our hospital from January 2010 to December2016 were conveniently selected and randomly divided into two groups, the control group with 51 cases adopted the traditional lateral bone fusion, while the observation group adopted the posterior approach internal fixation, and the treatment effect was compared between the two groups. Results The treatment effective rate in the observation group was obviously higher than that in the control group,(92.31% vs 70.59%)(P <0.05), and the anterior vertebral trauma and trailing edge height were respectively(93.03±2.81)% and(95.83±4.38)% in the observation group, and the Cobb angle was(7.39±1.29)°,and the VAS score in the observation group was obviously lower than that in the control group,[(1.02 ±0.98)points vs(3.29±1.82)points](P<0.05). Conclusion The posterior approach internal fixation in treatment of patients with spine fracture can improve the ratio of anterior vertebral trauma and trailing edge height, and it also obviously improves the Cobb angle, and it is worth clinical reference.