经皮椎弓根螺钉内固定术治疗无神经损伤性胸腰椎椎体骨折的价值

Percutaneous Pedicle Screw Fixation No Therapeutic Value of Nerve Injury Thoracolumbar Vertebral Fracture

目的:研究经皮椎弓根螺钉内固定术治疗无神经损伤性胸腰椎椎体骨折(TF)的价值。方法:选取2017年6月~2020年6月本院收治的50例TF患者,依双盲法分为参照组和科研组各25例,参照组行传统开放手术治疗,科研组行经皮椎弓根螺钉内固定术治疗,比较两组术后效果。结果:两组患者术前ODI、VAS数据比较,P>0.05,科研组术后1周、术后3个月、6个月的ODI、VAS均低于参照组,P<0.05;科研组手术时间、切口长度及住院时间均短于参照组,术中出血量少于参照组,P<0.05;两组患者术前、术后1周、术后3个月、6个月后凸Cobb角比较,P>0.05;科研组患者的腰椎功能均优于参照组,P<0.05。结论:TF患者采用经皮椎弓根螺钉内固定术疗效更佳,创伤小,手术及住院时间短。

Objective:To study the value of percutaneous pedicle screw fixation in the treatment of thoracolumbar vertebral fractures(TF)without nerve injury.Methods:From June 2017 to June 2020,50 patients with TF in our hospital were selected and divided into the reference group and the scientific research group according to the double-blind method.The reference group received traditional open surgery and the scientific research group received percutaneous pedicle surgery.Screw internal fixation treatment,the postoperative effects of the two groups were compared.Results:The preoperative ODI and VAS data of the two groups were compared(P>0.05).The ODI and VAS of the scientific research group at 1 week,3 months and 6 months after the operation were lower than those of the reference group(P<0.05);Time,incision length and hospital stay were shorter than the reference group,and the intraoperative blood loss was less than that of the reference group(P<0.05);Comparison of the kyphotic Cobb angles between the two groups before surgery,1 week after surgery,3 months and 6 months after surgery(P>0.05);The lumbar function of the patients in the scientific research group was better than that of the reference group(P<0.05).Conclusion:Percutaneous pedicle screw internal fixation for TF patients has better surgical curative effect,less trauma,shorter operation and hospitalization time.