经伤椎单侧固定和跨伤椎固定治疗胸腰段脊柱骨折的疗效比较

Comparison of Curative Effects of Thoracic and Lumbar Spinal Fractures Treated by Unilateral Fixation and Trans-fracture Fixation

目的对胸腰段脊柱骨折患者分别通过经伤椎单侧固定以及跨伤椎固定方法进行治疗,对两种治疗方法的临床治疗效果进行研究。方法随机抽取该院在2017年1月—2018年1月,这一期间内收治的50例胸腰段脊柱骨折患者,将其作为该次研究的研究对象,按照患者的例数进行分组,分为对照组(n=25)和观察组(n=25),对两组患者的治疗效果以及手术指标进行比较。结果观察组患者经过治疗,获得的手术指标均比对照组患者高(t=4.236 1、5.264 9、5.698 4);获得的VAS以及JOA评分明显改善,改善情况比对照组患者更显著(t=4.2613、6.295 4);观察组患者在进行治疗后获得的Cobb角情况比对照组患者更优良(t=3.062 1、4.265 9);观察组术后的并发症的发生率为8.0%,对照组术后的并发症的发生率为28.0%,组间差异有统计学意义(χ2=5.261 8,P<0.05)。结论胸腰段脊柱骨折患者通过经伤椎单侧固定术进行治疗,患者治疗效果更加显著,值得在临床上推广以及应用。

Objective To treat thoracic and lumbar spine fractures by unilateral fixation and trans-fracture fixation.The clinical treatment effects of the two treatment methods were studied. Methods Fifty cases of thoracolumbar spine fractures treated in the hospital from January 2017 to January 2018 were randomly selected as subjects of this study and grouped according to the number of patients. They were divided into control group（n=25） and observation group（n=25）. The treatment effects and surgical indicators of the two groups were compared. Results In the observation group,the surgical indexes obtained were higher than those in the control group（t=4.236 1, 5.264 9,5.698 4）. The scores of VAS and JOA obtained were significantly improved, and the improvement was more significant than that of the control group（t=4.261 3,6.295 4）. The Cobb angles obtained after treatment in the observation group were better than those in the control group（t=3.062 1,4.265 9）. The incidence of postoperative complications was 8.0% in the observation group.The incidence of complications was 28.0%, with significant differences between the groups（χ^2=5.261 8,P〈0.05）. Conclusion Patients with thoracic and lumbar spinal fractures undergo unilateral fixation of the injured lumbar spine. The treatment effect of the patients is more significant and worthy of promotion and application in clinical practice.