微创联合脊柱减压治疗脊柱骨折合并脊髓损伤的效果及安全性分析

Analysis of the efficacy and safety of minimally invasive combined spinal decompression in the treatment of spinal fractures with spinal cord injury

目的:观察微创联合脊柱减压治疗脊柱骨折合并脊髓损伤的效果及安全性。方法:2019年6月-2020年6月收治脊柱骨折合并脊髓损伤患者48例,分为两组,各24例。对照组应用传统开放后路减压椎弓根螺钉复位内固定术治疗;试验组采用微创联合脊柱减压治疗。比较两组治疗效果。结果:试验组手术切口长度、术中出血量、术后引流量、术后住院时间及术后并发症发生率均低于对照组,差异有统计学意义(P<0.05);试验组术后1个月矢状面Cobb角低于对照组,伤椎前缘高度高于对照组,差异有统计学意义(P<0.05);试验组术后1个月ASIA损伤分级显示E级的比例高于对照组,差异有统计学意义(P<0.05)。结论:脊柱骨折合并脊髓损伤患者采用微创联合脊柱减压治疗的效果更好。

Objective:To observe the effect and safety of minimally invasive combined spinal decompression in the treatment of spinal fractures with spinal cord injury.Methods:From June 2019 to June 2020,48 patients with spine fracture and spinal cord injury were selected,they wre divided into the two groups with 24 cases in each group.The control group was treated with traditional open posterior decompression and pedicle screw reduction and internal fixation.The experimental group was treated with minimally invasive combined spinal decompression.We compared the treatment effects of the two groups.Results:The length of surgical incision,intraoperative blood loss,postoperative drainage,postoperative hospital stay,and postoperative complications rate in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).One month after operation,the sagittal cobb angle of the experimental group was lower than that of the control group,and the height of the anterior edge of the injured vertebra was higher than that of the control group,the differences were statistically significant(P<0.05).The proportion of ASIA injury grading in the experimental group at 1 month after operation showed that the proportion of grade E was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Minimally invasive combined with spinal decompression is more effective in patients with spinal fracture and spinal cord injury.