胸腰椎多节段脊柱骨折临床诊断及治疗

Clinical diagnosis and treatment of segmental thoracolumbar spinal fracture

目的探讨胸腰椎多节段脊柱骨折临床诊断及治疗效果。方法选取不稳定性胸腰椎多节段脊柱骨折患者(不稳定组)和稳定性骨折患者(稳定组)各25例。不稳定组患者予以非手术治疗,而稳定性组根据骨折情况,采用不同手术方式治疗。比较2组患者治疗效果以及治疗前后受伤椎体前缘高度和后凸角的变化情况。结果 2组患者临床治疗效果比较差异无统计学意义(P>0.05);治疗后2组患者受伤椎体前缘高度和后凸角情况均优于治疗前(P<0.05),但组间比较差异无统计学意义(P>0.05)。结论针对胸腰椎脊柱节段不同骨折类型患者予以不同治疗方法进行治疗可明显提高患者临床治疗效果,改善患者受伤椎体前缘高度和后凸角。

Objective To discuss the diagnosis and treatment for segmental thoracolumbar spinal fracture. Methods25 patients with unstable thoracolumbar spine fractures( unstable group) and 25 patients with stable thoracolumbar spine fractures( stable group) were collected. Unstable group was treated conservatively,and stable group was treated by the operation according to the fracture condition. The clinical efficacy of the 2 groups were compared,as well as the injured vertebral height and kyphosis angle changes. Results The difference of clinical curative effect between the two groups was not statistically significant( P > 0. 05). after treatment,the injured vertebral height and cobb angle of two groups were significantly better than cure before( P < 0. 05),but the difference between the two groups was not statistically significant( P > 0. 05). Conclusion Different types of fractures of thoracic and lumbar spine was treated by different treatments can significantly improve the clinical effect,as well as improve patient injured vertebral height and kyphosis.