胸腰椎骨折术后早期支具固定的临床意义

Clinical significance of early brace fixation after thoracolumbar fractures

目的:探讨胸腰椎骨折复位内固定术后早期佩戴胸腰椎支具对骨折康复的意义。方法:选取84例胸腰椎单节段骨折的患者(AO分型A型),将患者交替分为治疗组(42例)和对照组(42例)。治疗组患者术后2周开始佩戴胸腰椎支具;对照组患者卧床至骨折初步愈合。比较两组患者术后胸腰痛VAS评分、椎体前柱高度丢失、骨折愈合时间等指标。结果:术后3个月和术后6个月治疗组患者VAS评分均低于对照组(P<0.05),治疗组骨折愈合时间短于对照组,差异有统计学意义(P<0.05)。结论:胸腰椎骨折(AO分型A型)术后早期佩戴胸腰背支具,能有效控制骨折椎体高度再丢失的发生率,能明显改善胸腰背疼痛、促进骨折愈合。

Objective：To observe the significance of the early wear of thoracolumbar vertebral support after internal fixation of thoracolumbar fracture with internal fixation on fracture recovery.Methods： 84 patients with thoracolumbar single segmental fracture（AO type A） patients were divided into two groups. Visual analogue scale（VAS） score of back pain, changes the height of fracture vertebral, healing time of fractures were evaluated. Results： At 3 months and 6 months after surgery, the VAS scores of the patients in the treatment group were lower than those in the control group（P〈0.05）, The healing time of fractures in the treatment group was shorter than that of the control group, with a statistically significant difference（P〈0.05）. Conclusion： Using brace for treatment of thoracolumbar fractures at early postoperative can effectively prevent fracture vertebral body height loss, significantly relief the thoracic lumbar back pain, promote fracture healing.