脊柱前路与后路内固定融合术治疗胸腰段骨折的效果比较

Comparison of effects of anterior and posterior internal fixation and fusion in treatment of thoracolumbar fractures

目的:观察脊柱前路与后路内固定融合术治疗胸腰段骨折患者的效果。方法:回顾性分析2016年10月至2018年11月收治的110例胸腰段骨折患者的临床资料,依据治疗方法不同分为观察组和对照组,每组55例。对照组予前路内固定融合术治疗,观察组予后路内固定融合术治疗,比较两组手术指标水平,治疗前后视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分及并发症发生率。结果:观察组术中出血量少于对照组,手术时间短于对照组,差异均有统计学意义(P<0.05);治疗后,两组VAS及ODI评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.45%,低于对照组的10.91%,差异无统计学意义(P>0.05)。结论:脊柱后路内固定融合术治疗胸腰段骨折患者的效果优于脊柱前路内固定融合术治疗效果。

Objective: To compare effects of anterior and posterior internal fixation and fusion in treatment of thoracolumbar fractures. Methods: The clinical data of 110 patients with thoracolumbar fracture from October 2016 to November 2018 were retrospectively analyzed. According to the different treatment methods, they were divided into observation group and control group, 55 cases in each group. The control group was treated with anterior internal fixation and fusion, while the observation group was treated with posterior internal fixation and fusion. The levels of surgical indicators, visual analogue scoring(VAS) score, Oswestry dysfunction index(ODI) score before and after treatment and complication rate were compared between the two groups. Results: The intraoperative blood loss in the observation group was less than that in the control group, the operation time was shorter than that in the control group, and the differences were statistically significant(P<0.05). After the treatment, the VAS and ODI scores of the two groups were lower than before the treatment, those of the observation group were lower than those of the control group;and the differences were statistically significant(P<0.05). Further, the complication rate in the observation group was 5.45%, which was lower than that in the control group of 10.91%, and the difference was not statistically significant(P>0.05). Conclusions: Posterior internal fixation and fusion is superior to anterior internal fixation and fusion in the treatment of thoracolumbar fractures.