椎弓根固定联合植骨融合治疗胸腰段脊柱爆裂性骨折的效果

Clinical effect of pedicle screw fixation combined with bone grafting in the treatment of thoracolumbar spine bursting fracture

目的研究椎弓根固定联合植骨融合治疗胸腰段脊柱爆裂性骨折的临床效果。方法选择2015年6月至2016年6月在我院接受治疗的胸腰段脊柱爆裂性骨折患者112例为研究对象,随机分为试验组和对照组,每组56例。对照组患者采用椎弓根固定治疗,试验组患者采用椎弓根固定联合植骨融合治疗,记录并比较两组患者脊柱恢复情况、手术相关指标及术后并发症发生率。结果两组患者的手术时间、术中出血量比较,差异不显著(P>0.05);试验组并发症发生率明显低于对照组(P<0.05);治疗后,两组患者的Cobb角、伤椎前缘高度与治疗前相比均有明显改善,但试验组优于对照组,差异显著(P<0.05)。结论采用椎弓根固定联合植骨融合对胸腰段脊柱爆裂性骨折患者进行治疗可取得显著的临床效果,值得在临床推广使用。

Objective To study the clinical effect of pedicle screw fixation combined with bone grafting in the treatment of thoracolumbar spine bursting fracture. Methods A total of 112 patients with thoracolumbar spine bursting fracture in our hospital from June 2015 to June 2016 were randomly divided into experimental group and control group, with 56 patients in each group. The patients in the control group were treated with pedicle screw fixation, and the patients in the experimental group were treated with pedicle screw fixation combined with bone grafting. The spinal, surgical-related indicators and the incidences of postoperative complications in the two groups were recorded and compared. Results There was no significant difference in the operation time and intraoperative bleeding loss between the two groups(P>0.05). The incidence of complications in the experimental group was significantly lower than that in the control group(P<0.05). After treatment, the Cobb angle and vertebral anterior height in the two groups significantly improved, and those in the experimental group were superior to the control group(P<0.05). Conclusion The pedicle screw fixation combined with bone grafting in the treatment of thoracolumbar spine bursting fracture can achieve significant clinical effect, which is worthy of promotion in clinic.