切开减压椎弓根内固定治疗急性脊柱创伤患者的临床疗效分析

Clinical Analysis on the Treatment of Acute Spinal Trauma with Incision and Decompression and Pedicle Internal Fixation

目的:分析对急性脊柱创伤患者行以切开减压椎弓根内固定治疗的临床疗效。方法:将我院收治的64例急性脊柱创伤患者随机分成对照组和研究组,对分别予以胸腰椎骨折前路内固定术、切开减压椎弓根内固定治疗。结果:治疗后,研究组前缘椎体压缩高度、后缘椎体压缩高度、伤锥Cobbs角、椎管占位率均明显优于对照组(P<0.05)。结论:对急性脊柱创伤患者行以切开减压椎弓根内固定治疗的临床疗效显著,值得推广。

Objective: To analyze the clinical efficacy of open reduction and pedicle internal fixation for patients with acute spinal trauma. Methods: Sixty-four patients with acute spinal trauma admitted to our hospital were randomly divided into the control group and the study group. The patients underwent anterior internal fixation with thoracolumbar fracture and open reduction and pedicle internal fixation. Results: After treatment, the anterior vertebral compression height, the posterior vertebral compression height, the Cobbs angle of the injured cone and the occupying rate of spinal canal in the study group were significantly better than those in the control group ( P <0.05). Conclusion: The clinical efficacy of open pedicle screw fixation for patients with acute spinal trauma is significant and worthy of promotion.