微创经皮椎弓根螺钉Sextant内固定治疗老年骨质疏松性脊柱骨折的疗效分析

Analysis of the Curative Effect of Minimally Invasive Percutaneous Pedicle Screw Sextant in Treating Senile Osteoporotic Vertebral Fracture

目的：研究并分析微创经皮椎弓根螺钉Sextant内固定治疗老年骨质疏松性脊柱骨折的疗效.方法：选取在2016年7月～2017年7月期间来我院就诊的40例老年骨质疏松性脊柱骨折患者进行研究,分组方法为奇偶分组法,将其分为观察组和对照组,各20例.将行开放内固定治疗的患者作为对照组,将行微创经皮椎弓根螺钉Sextant内固定治疗的患者作为观察组.对比2组患者的临床效果.结果：对比2组患者的术中失血量、住院时间、手术时间、术中X线暴露时间和切口长度,组间差异显著（p〈0.05）;对比治疗前后2组患者的目测类比评分和ODI评分,治疗前组间差异不明显（p〉0.05）,治疗后组间差异显著（p〈0.05）.治疗后观察组患者的并发症发生率相比于对照组的并发症发生率,明显较低,组间数据呈现为p〈0.05.结论：对老年骨质疏松性脊柱骨折患者行微创经皮椎弓根螺钉Sextant内固定治疗,取得了显著效果,降低并发症的发生率,值得临床上借鉴以及进一步普及.

Objectiv： To study and analyze the curative effect of minimally invasive percutaneous pedicle screw Sextant fixation for the treatment of senile osteoporotic spinal fractures. Methods： From July 2016 to July 2017 in our hospital ,during the period of 60 cases of elderly patients with osteoporotic spinal fractures, grouping method that accidentally grouping, it can be divided into the experimental group and control group, 30 cases each. The patients treated with the open internal fixation were treated as the experimental group with the minimally invasive percutaneous pedicle screw Sextant. To compare the clinical effects of two groups of patients. Results： The difference between the two groups was significant （ p 〈 0.05 ）, compared with intraoperative blood loss, length of hospital stay, operation time, in- traoperative X - ray exposure time and incision length. Compared with the visual analogue scores and ODI scores of the two groups before and after treatment, the difference between the treatment groups was not obvious （ p BBB 0 0.05 ）, and the difference between groups was significant （ p 〈 0. 05 ）. After treatment, the incidence of complications in the experimental group was lower than that in the control group, and the data presented in the group was p 〈 0.05. Conclusion： In patients with senile osteoporotic spine fracture line Sextant of minimally invasive percutaneous pediele screws fixation treatment, achieved significant effect, reduce the incidence of complications, is worthy of reference for the clinical as well as the further popularization.