不同类型椎弓根置钉手术治疗老年脊柱退行性病变的效果与安全性分析

Analysis on the Efficacy and Safety of Different Types of Pedicle Screw Placement Surgery in the Treatment of Elderly Spinal Degenerative Diseases

目的探讨不同类型椎弓根置钉手术治疗老年脊柱退行性病变的效果与安全性。方法78例老年脊柱退行性病变患者分为两组,对照组给予传统椎弓根螺钉手术治疗,观察组给予可注射骨水泥型椎弓根螺钉手术治疗,比较两组的术后临床功能优良率、疼痛程度及并发症。结果观察组的术后临床功能优良率高于对照组,术后1 d、3 d、7 d的VAS评分均低于对照组,术后并发症总发生率低于对照组(P<0.05)。结论可注射骨水泥型椎弓根螺钉手术可有效改善老年脊柱退行性病变患者的临床症状,降低术后疼痛程度,安全性较高。

Objective To explore the efficacy and safety of different types of pedicle screw placement surgery in the treatment of elderly spinal degenerative diseases.Methods 78 elderly patients with spinal degenerative diseases were divided into two groups.The control group was treated with traditional pedicle screw surgery,and the observation group was treated with injectable bone cement-type pedicle screw surgery.The postoperative excellent and good rate of clinical function,pain degree and complications were compared between the two groups.Results The postoperative excellent and good rate of clinical function in the observation group was higher than that in the control group,the VAS scores at 1 d,3 d,and 7 d after surgery were lower than those in the control group,and the total incidence of postoperative complications was lower than that in the control group(P<0.05).Conclusions Injectable bone cement-type pedicle screw surgery can effectively improve the clinical symptoms of elderly patients with spinal degenerative diseases,and reduce postoperative pain degree,with higher safety.