微创经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床疗效

Analysis of the clinical efficacy of minimally invasive percutaneous pedicle screw fixation in the treatment of thoracolumbar fractures

目的:分析微创经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床疗效。方法:收治无脊髓神经损伤胸腰椎骨折患者53例,均采取微创经皮椎弓根螺钉内固定术治疗,对患者临床疗效进行分析。结果:53例患者中,VAS评分、JOA评分、Qswestry评分术前与术后对比,差异有统计学意义(P<0.05)。Cobb's角和椎间隙高度、椎体前缘高度进行对比,术前各项指标差于患者术后临床指标,组间差异有统计学意义(P<0.05)。结论:无脊髓神经损伤的胸腰椎骨折患者采取微创经皮椎弓根螺钉内固定术治疗,具有创伤小、出血少和恢复快等优势,在减少术后并发症的同时,还能实现临床疗效的显著提升。

Objective：To analyze the clinical efficacy of minimally invasive percutaneous pedicle screw fixation in the treatment of thoracolumbar fractures.Methods：153 patients with thoracolumbar fracture without spinal cord injury were selected.They were all treated with minimally invasive percutaneous pedicle screw internal fixation.We analyzed the clinical efficacy of the patients.Results：In 53 patients,the difference was statistically significant between the VAS score,the JOA score,and the Qswestry score before and after the operation（P〈0.05）.In contrast to the Cobb ’s angle,the height of the intervertebral space and the height of the anterior edge of the vertebral body,the preoperative indicators were less than the postoperative clinical indicators of the patients,and the difference between groups was statistically significant（P〈0.05）.Conclusion：Minimally invasive percutaneous pedicle screw fixation for patients with thoracolumbar fractures without spinal cord injury has advantages of less trauma,less bleeding and quicker recovery,while reducing postoperative complications,and it can also achieve significant improvement in clinical efficacy.