球囊扩张椎体成形与椎弓根钉置入内固定治疗胸腰椎爆裂骨折的效果对比

Balloon Expansion Vertebral Body Shape and Internal Fixation with Pedicle Screw Placement For The Treatment of Thoracolumbar Burst Fracture

目的在胸腰椎爆裂骨折的治疗过程中应用球囊扩张椎体成形和椎弓根钉置入内固定,探究对比治疗效果。方法选取26例胸腰椎爆裂骨折患者作为研究对象,运用随即数表法将其分为对照组和观察组,每组13例,其中对照组采用球囊扩张椎体成形进行治疗,而在观察组中,则采用椎弓根钉置入内固定进行治疗。结果在两组患者接受治疗后,采用球囊扩张椎体成形的对照组手术平均时间为37 min,手术后第1天疼痛便有所缓解,出现骨水泥渗漏的患者有3例,但并且未出现神经根损伤的情况。而采用椎弓根钉置入内固定的患者中手术平均时间为55 min,手术后疼痛在5~7 d开始缓解,并且未出现神经根损伤的情况。结论在胸腰椎爆裂骨折的治疗过程中应用球囊扩张椎体成形和椎弓根钉置入内固定均可以达到稳定骨折、缓解疼痛的作用,具有良好的临床应用价值,值得广泛推广应用。

Objective To applications in the treatment of thoracolumbar burst fracture process balloon expansion vertebral body shape and internal fixation with pedicle screw placement, compare the treatment effect. Methods 26 patients with thoracolumbar burst fracture as the research object, then the indicator method is divided into control group and observation group, each group of 13 cases, control group adopts balloon expansion vertebral body forming treatment, in the observation group, were treated by internal fixation with pedicle screw placement. Results After treatment in both groups,the balloon expansion vertebral body shape of the control group 37 minutes, the average time for postoperative pain was eased on the first day, there are 3 cases of patients with bone cement leakage, but was found and the nerve root injury.And use of internal fixation with pedicle screw placement in patients with surgery for an average of 55 minutes, postoperative pain began to ease in 5 to 7 days, and does not appear the nerve root injury. Conclusion In the treatment of thoracolumbar burst fracture during the process of application of balloon expansion vertebral body shape and internal fixation with pedicle screw placement can achieve stable fracture, the effect of pain relief, has good clinical application value, is worth popularization and application widely.