微创脊柱内固定系统治疗无神经损伤胸腰椎骨折的临床效果

Effect of minimally invasive spinal internal fixation system on patients with thoracolumbar fracture without nerve injury

目的分析无神经损伤胸腰椎骨折采用微创脊柱内固定系统治疗的临床疗效。方法从2015年1月至2017年8月临汾市人民医院收治的无神经损伤胸腰椎骨折患者中选取78例为研究对象,随机分为观察组与对照组,每组39例。对照组行开放椎弓根螺丝钉内固定治疗,观察组采用微创脊柱内固定系统治疗。比较两组临床疗效、生活质量与并发症发生情况。结果与对照组比较,观察组手术时间更短,出血量更少,各项生活质量评分更高,组间比较差异有统计学意义(P<0.05)。两组并发症发生率比较差异未见统计学意义(P>0.05)。结论采用微创脊柱内固定系统治疗无神经损伤胸腰椎骨折,临床疗效显著,有利于提高患者生活质量,并发症发生率低,值得推广。

Objective To analyze the clinical efficacy of minimally invasive spinal internal fixation system on thoracolumbar fracture without nerve injury.Methods Seventy-eight patients with thoracolumbar fracture without nerve injury who were treated in Linfen People’s Hospital from January 2015 to August 2017 were selected as research objects,and they were randomly divided into control group and observation group,with 39 cases in each group.Patients in control group underwent open pedicle screw fixation,while patients in observation group were treated by minimally invasive spinal internal fixation system.The clinical efficacy,quality of life and incidence of complications were compared between the two groups.Results Compared with control group,the observation group had shorter operation time,less bleeding volume,higher quality of life scores,and there were significant differences between the groups(P<0.05).There was no significant difference between the two groups in the incidence of complications(P>0.05).Conclusions Minimally invasive spinal internal fixation system has great clinical effects on thoracolumbar fracture without nerve injury,which is conductive to improvement in quality of life of patients,with low incidence of complications.