前路手术内固定治疗胸腰椎爆裂性骨折的疗效分析

Curative effect analysis of anterior internal fixation surgery treatment in thoracolumbar burst fracture

目的:针对胸腰椎爆裂性骨折患者,研究分析对其行前路手术内固定的疗效。方法:抽取胸腰椎爆裂性骨折患者30例,随机分为试验组和对照组,每组15例患者。试验组采用前路手术内固定疗法,对照组则采用后路手术固定疗法。随访5个月~3年,对比两组患者术后的椎体高度以及神经功能的恢复情况。结果:试验组术后椎体高度基本恢复到正常的状态,而且没有出现神经功能损害加重,内固定物比较稳定;而对照组在术后则有出现4例神经功能失常的症状。结论:前路手术内固定疗法可直接解除脊髓压迫,而且植骨的融合率高。

Objective:To research and analysis the curative effect of anterior internal fixation surgery for patients with thoracolumbar burst fracture,.Methods:30 cases of patients with thoracolumbar burst fracture were randomly divided into experimental group and control group,15 patients in each group.The experimental group with anterior internal fixation operation therapy,while the control group with posterior operation fixing therapy.Follow up of 5 months to 3 years,compare postoperative vertebral body height and the recovery of neurological function of two groups of patients.Results:15 cases of patients in the experimental group after the surgery,the vertebral height recovered to the normal state,and there were no neurological worsening, the internal fixation is stable.The control group in postoperative had 4 cases of nerve function disorders.Conclusion:Anterior internal fixation operation therapy can relieve spinal cord compression,and the fusion rate of bone graft is high.