可注射骨水泥型椎弓根螺钉和传统椎弓根螺钉治疗脊柱退行性病变的效果差异

Difference of the Effects of Injectable Bone-Cement Pedicle Screw and Traditional Pedicle Screw in the Treatment of Spinal Degenerative Disease

目的比较可注射骨水泥型椎弓根螺钉和传统椎弓根螺钉治疗脊柱退行性病变的效果。方法选取2011年1月至2015年12月我院收治的脊柱退行性病变患者50例,根据手术方式分为干预组(可注射骨水泥型椎弓根螺钉治疗, 27例)和常规组(传统椎弓根螺钉治疗, 23例),分析比较两组患者术后的ODI、 JOA、 VAS评分以及并发症发生率。结果术后,干预组的ODI、 VAS评分低于常规组, JOA评分高于常规组(P均<0.05)。两组的螺钉松动、螺钉脱落、骨水泥渗漏、肺栓塞发生率比较无统计学差异(P>0.05)。结论与传统椎弓根螺钉比较,可注射骨水泥型椎弓根螺钉治疗脊柱退行性病变能够显著减轻患者的疼痛,改善功能,提高临床疗效。

Objective To compare the effects of injectable bone-cement pedicle screw and traditional pedicle screw in the treatment of spinal degenerative disease. Methods 50 cases of patients with spinal degenerative disease admitted to our hospital from January 2011 to December 2015 were selected and divided into intervention group(injectable bone-cement pedicle screw, 27 cases) and conventional group(traditional pedicle screw, 23 cases) according to the surgical methods. The postoperative ODI, JOA and VAS scores, and incidence of complications were analyzed and compared between the two groups. Results After surgery, the ODI and VAS scores of the intervention group were lower than those of the conventional group, and the JOA score was higher than that of the conventional group(all P<0.05). No statistical difference was found in the incidences of screw loosening, screw shedding, cement leakage and pulmonary embolism between the two groups(P>0.05). Conclusions Compared with traditional pedicle screw, injectable bone-cement pedicle screw in the treatment of spinal degenerative disease can significantly relieve the pain of patients, improve the function and clinical efficacy.