摘要
目的:探究用经后路短节段椎弓根螺钉内固定术治疗胸腰椎爆裂性骨折的效果。方法:选择2014年8月至2016年4月宜宾骨科医院收治的40例胸腰椎爆裂性骨折患者作为研究对象。将这些患者随机分为对照组和观察组。用经前路短节段椎弓根螺钉内固定术对对照组患者进行治疗,用经后路短节段椎弓根螺钉内固定术对观察组患者进行治疗,然后比较两组患者的临床疗效、术后胸腰椎的Cobb角及术后ASIS残损分级的情况。结果:观察组患者治疗的总有效率高于对照组患者(P<0.05)。术后,观察组患者胸腰椎的Cobb角小于对照组患者(P<0.05)。术后,观察组患者中ASIS残损分级为B级与C级患者所占的比例低于对照组患者(P<0.05)。结论:用经后路短节段椎弓根螺钉内固定术治疗胸腰椎爆裂性骨折的效果显著,能有效地恢复患者伤椎的高度,减小其胸腰椎的Cobb角,减轻其脊神经损伤。
Objective： To explore the effect of posterior short segment pedicle screw fixation for thoracolumbar burst fractures. Methods： 40 patients with thoracolumbar burst fractures admitted to yibin orthopaedic hospital from August 2014 to April 2016 were selected as the study subjects. These patients were randomly divided into a control group and an observation group. Via the anterior short segmental pedicle screw fixation for treatment in patients with the control, use the short posterior segmental pedicle screw fixation treatment of observation group of patients, and then compare the clinical efficacy of two groups of patients, postoperative thoracolumbar Cobb Angle and postoperative ASIS the situation of the damaged classification. Results： the total effective rate of the observation group was higher than that of the control group（P〈 0.05）. After surgery, the Cobb Angle of thoracolumbar vertebra in the observation group was smaller than that in the control group（P〈 0.05）. After surgery, the proportion of the patients in the observation group with ASIS disability rating of class B and class C was lower than that in the control group（P〈 0.05）. Conclusion： using the short posterior segmental pedicle screw fixation in the treatment of thoracolumbar burst fracture effect significantly, can effectively restore injury in patients with vertebral height, reduce its thoracolumbar Cobb Angle, reduce the spinal nerve injury.
作者
杨长华
Yang Changhua(Yibin orthopaedic hospital,Yibin Sichuan 64400)
