跨伤椎固定和经伤椎固定在胸腰段脊柱骨折治疗中的临床效果分析

Analysis of Clinical Effect of Transtraumatic Vertebrae Fixation and Transpedicular Fixation in the Treatment of Thoracolumbar Spinal Fracture

目的比较跨伤椎固定和经伤椎固定在胸腰段脊柱骨折治疗中的临床效果。方法将该院收治的80例胸腰段脊柱骨折患者作为该次实验的研究对象,所选病例均来自2015年1月—2017年12月,依据随机双盲法将其均分为两组,将采取经伤椎固定治疗的40例患者设为实验组,将采取跨伤椎固定治疗的40例患者设为对照组,对比两种术式的治疗效果。结果实验组患者手术时间和住院时间为(71.0±7.2)min,(17.2±3.4)d较对照组更短,术中出血量(221.3±21.9)m L和术后引流量(115.3±15.2)mL较对照组更少,伤椎压缩率(3.29±1.12)%和后凸Cobb角(4.49±0.61)°较对照组更低;两组患者术后VAS评分、JOA评分无明显区别,组间对比差异无统计学意义(P>0.05)。结论经伤椎固定相比于跨伤椎固定在治疗胸腰段脊柱骨折中更具优势,更适宜在临床中推广应用。

Objective To compare the clinical effect of transtraumatic vertebrae fixation and transpedicular fixation in the treatment of thoracolumbar spinal fracture.Methods 80 cases of patients with thoracolumbar spinal fracture admitted and treated in our hospital from January 2015 to December 2017 were selected and randomly divided into two groups with 40 cases in each,the experimental group were treated with transpedicular fixation,while the control group were treated with transtraumatic vertebrae fixation,and the treatment effect was compared between the two groups.Results The operation time and length of stay in the experimental group was(71.0±7.2)min and(17.2±3.4)d,which was shorter than that in the control group,and the intraoperative bleeding amount and postoperative drainage amount were(221.3±21.9)mL and(115.3±15.2)mL,which were fewer than those in the control group,and the compression ratio of injured vertebrae(3.29±1.12)%and kyphosis Cobb angle were respectively(4.49±0.61)°,which were lower than those in the control group;and there were no obvious differences in the postoperative VAS score and JOA score between the two groups after surgery,without statistical significance(P>0.05.)Conclusion The advantages of transtraumatic vertebrae fixation in the treatment of thoracolumbar spinal fracture are more obvious than that of transpedicular fixation,which is more suitable for promotion and application in clinic.