经皮微创椎弓根螺钉内固定与开放手术治疗胸腰椎骨折临床疗效对比

Comparison of clinical effects of percutaneous minimally invasive pedicle screw fixation and open surgery in the treatment of thoracolumbar fractures

目的:探讨经皮微创椎弓根螺钉内固定术在胸腰椎骨折患者治疗中的应用方式和效果。方法:2018年5月-2019年6月收治胸腰椎骨折患者40例,随机分为两组,各20例。对照组利用传统开放椎弓根螺钉内固定术治疗;观察组采取经皮微创椎弓根螺钉内固定术治疗。比较两组围手术期指标及术后视觉模拟评分法(VAS)评分。结果:观察组切口长度短于对照组,手术时间短于对照组,出血量及引流量均少于对照组;观察组术后VAS评分明显低于对照组,差异均有统计学意义(P<0.05)。结论:采用经皮微创椎弓根螺钉内固定术治疗胸腰椎骨折患者,创伤小,安全性高,有利于改善患者预后。

Objective:To explore the application and effect of percutaneous minimally invasive pedicle screw fixation in the treatment of thoracolumbar fractures.Methods:From May 2018 to June 2019,40 patients with thoracolumbar fracture were selected,they were randomly divided into the two groups with 20 cases in each group.The control group was treated with traditional open pedicle screw fixation.The observation group was treated with percutaneous minimally invasive pedicle screw fixation.The perioperative indexes and postoperative VAS scores were compared between the two groups.Results:The incision length of the observation group was shorter than that of the control group,the operation time was shorter than that of the control group,and the bleeding volume and drainage volume were less than that of the control group,the postoperative VAS score of the observation group was significantly lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Minimally invasive percutaneous pedicle screw fixation can be used for the treatment of thoracolumbar fracture with less trauma and high safety,which is helpful to improve the prognosis of the patients.