短节段椎弓根钉固定手术治疗脊柱骨折的效果分析

Analysis of the Therapeutic Effect of Short Segment Pedicle Screw Fixation Surgery for Spinal Fractures

目的:探讨短节段椎弓根钉固定手术治疗脊柱骨折的效果.方法:选取2017年7月-2019年8月我院收治的72例脊柱骨折患者为研究对象,按随机数字法分为2组,对照组36例,研究组36例.对照组应用跨伤椎椎弓根螺钉固定术治疗,研究组应用短节段椎弓根钉固定术治疗.结果:研究组手术时间、切口长度均短于对照组,术中出血量少于对照组(P<0.05);研究组伤椎前缘高度大于对照组,Cobb角小于对照组(P<0.05);治疗前,2组疼痛评分比较,差异不明显(P>0.05);治疗后,研究组疼痛评分低于对照组(P<0.05);治疗前,2组患者的神经功能改善率比较,差异不明显(P>0.05),治疗后,研究组神经功能改善率高于对照组(P<0.05);研究组并发症总概率低于对照组(P<0.05);研究组功能维度、症状维度、总健康状况、单项问题、总评分均高于对照组(P<0.05).结论:脊柱骨折的治疗当中,短节段椎弓根钉固定手术治疗的效果理想,具有手术时间短、创伤小、出血量低的优势,有利于脊柱功能的恢复及重建,值得临床上进一步推广应用.

Objective:To investigate the effect of short segment pedicle screw fixation in the treatment of spinal fracture.Methods:72 patients with spinal fractures admitted to our hospital from July 2017 to August 2019 were selected as the research subjects,divided into 2 groups by random number method,with 36 cases in the control group and 36 cases in the study group.The control group was treated with transvertebral pedicle screw fixation,and the study group was treated with short segmental pedicle screw fixation.Results:The operation time and incision length of the study group were shorter than those of the control group,and the intraoperative blood loss was lower than that of the control group(P<0.05);the height of the anterior edge of the injured vertebra in the study group was higher than that in the control group,and the Cobb angle was smaller than that in the control group(P<0.05);before treatment,there was no significant difference in pain scores between the two groups(P>0.05);after treatment,the pain score of the study group was lower than that of the control group(P<0.05);before treatment,there was no significant difference in the improvement rate of neurological function between the two groups of patients(P>0.05).After treatment,the improvement rate of neurological function in the study group was higher than that in the control group(P<0.05);the total probability of complications in the study group was lower than that in the control group(P<0.05);the research group had higher functional dimensions,symptom dimensions,overall health status,individual questions,and overall scores than the control group(P<0.05).Conclusion:In the treatment of spinal fracture,short segment pedicle screw fixation has the advantages of short operation time,lttle trauma and low blood loss,which is conducive to the recovery and reconstruction of spinal function and worthy of further clinical application.