微创经皮椎弓根螺钉对比伤椎置钉在胸腰段脊椎骨折治疗中的应用分析

Analysis of minimally invasive percutaneous pedicle screw contrast injured vertebral screw placement in treatment of thoracolumbar vertebral fractures

目的分析伤椎置钉与微创经皮椎弓根螺钉对胸腰段脊椎骨折的临床治疗效果。方法选取2015年1月～2017年12月在我院住院的122例胸腰段脊椎骨折患者为研究对象,随机分为对照组和观察组,每组各61例,对照组患者采取跨伤椎置钉治疗,观察组患者采取微创经皮椎弓根螺钉治疗,观察比较两组患者临床效果。结果治疗前,观察组患者的伤椎Cobb角度和伤椎前缘高度比值与对照组比较差异无统计学意义(P>0.05)。治疗后12个月,两组患者的伤椎Cobb角度和伤椎前缘高度比较,差异均有统计学意义(P<0.05);而且观察组患者Oswestry功能障碍和视觉模拟评分均高于对照组,但两组比较差异无统计学意义(P>0.05)。结论与伤椎置钉治疗相比,微创经皮椎弓根螺钉内固定术对胸腰椎骨折治疗效果更具有优势,值得推广应用。

Objective To compare the clinical effect of injured vertebral screw placement and minimally invasive pedicle screw on thoracolumbar vertebral fractures.Methods122cases of hospitalized patients with thoracic lumbar spine fractures from January2015to December2015in our hospital were analyzed,and the random divided into2groups(control group and observation group)and61cases in each group.The treatment of control group patients was take across injury vertebral placement,observation group of patients was treated with minimally invasive percutaneous pedicle screw,and compare the clinical effect of two groups.Results Before treatment,there was no statistically significant difference in the ratio of injured Cobb Angle and injured anterior height between the observation group and the control group(P>0.05),but there was statistically significant difference in the12months after treatment(P<0.05).Twelve months after treatment,Oswestry dysfunction and visual analogue scores of patients in the observation group were higher than those in the control group,but there was no statistically significant difference between the two groups(P>0.05).Conclusion Minimally invasive percutaneous pedicle screw internal fixation has more advantages in the treatment of thoracolumbar fractures than the treatment of injured vertebral screws.