经皮微创椎弓根钉棒内固定联合椎体成形术治疗老年胸腰椎骨折的短期临床疗效观察

目的观察经皮微创椎弓根钉棒内固定联合椎体成形术治疗老年胸腰椎骨折的短期临床疗效.方法回顾性分析2015年6月至2017年5月18例老年胸腰椎骨折患者的临床资料,均无神经损伤,术中使用经皮椎弓根钉棒撑开伤椎,高度恢复后行椎体成形术,注入专用骨水泥.结果18例患者均无感染及神经损伤等,随访12个月,均无内固定松动断裂及椎体高度丢失、继发后凸畸形等并发症.结论经皮微创椎弓根钉棒内固定联合椎体成形术治疗老年胸腰椎骨折具有创伤小安全性高疼痛轻恢复快等优点,临床疗效满意.

Objective To investigate the short-term clinical efficacy of percutaneous minimally invasive pedicle screw fixation combined with vertebroplasty in the treatment of elderly thoracolumbar fractures. Methods Eighteen patients with fresh and old thoracolumbar fractures diagnosed and operated from January 2015 to December 2016 were selected. All of them had no nerve injury. Percutaneous pedicle screw rod was used to open the injured vertebrae during the operation. Vertebroplasty was performed after height recovery and special bone cement was injected. Results None of the 18 patients had no nerve injury. After 12 months of follow-up,there were no complications such as internal fixation loosening,loss of vertebral height, secondary kyphosis,and follow-up. Conclusion Percutaneous minimally invasive pedicle screw fixation combined with vertebroplasty for the treatment of senile thoracolumbar fractures has the advantages of small trauma,high safety,high pain and quick recovery,and satisfactory clinical results.