Objective:To evaluate the clinical effect of posterior internal fixation and fusion in the treatment of thoracolumbar fractures.Methods:36 patients with thoracolumbar fractures from January 2018 to December 2020 were ...Objective:To evaluate the clinical effect of posterior internal fixation and fusion in the treatment of thoracolumbar fractures.Methods:36 patients with thoracolumbar fractures from January 2018 to December 2020 were selected and divided into study group and control group according to the random number table model.The control group was treated with anterior internal fixation,while the study group was treated with posterior internal fixation and fusion.The indexes of the two groups were compared and analyzed.Results:Compared with the operation related indexes of the two groups,the study group had more advantages(P<0.05);The postoperative kyphosis Cobb angle,height of anterior and posterior vertebral body,wedge index of the two groups were better than those before operation(P<0.05),and there was no significant difference between the two groups(P>0.05);There was no significant difference between the two groups(P>0.05).Conclusion:The clinical effect of posterior internal fixation and fusion in the treatment of thoracolumbar fractures is significant,and the body damage is slight,which is worthy of comprehensive promotion.展开更多
Objective To explore the effects of the anterior internal fixation systems on the post-operative lateral angulation in treatment of thoracolumbar fractures.Methods A retrospective study was done to analyze the 172 pat...Objective To explore the effects of the anterior internal fixation systems on the post-operative lateral angulation in treatment of thoracolumbar fractures.Methods A retrospective study was done to analyze the 172 patients who had展开更多
Objective:To study the clinical effect of minimally invasive single-segment reduction and internal fixation in patients with thoracolumbar fractures.Methods:From June 2013 to June 2014,100 patients with thoracolumbar ...Objective:To study the clinical effect of minimally invasive single-segment reduction and internal fixation in patients with thoracolumbar fractures.Methods:From June 2013 to June 2014,100 patients with thoracolumbar fractures were selected as the subjects and they were randomly divided into observation group(50 cases)and control group(50 cases).The patients in the observation group were treated with minimally invasive singlesegment reduction and internal fixation.The patients in the control group were treated with short segmental fixation.The clinical effects of the two groups were compared.Results:There was no significant difference in the compression rate and Cobb angle between the two groups before and after operation(P>0.05).For all patients who were followed up for the last time,the Cobb angle was significantly lower in the observation group than in the control group(P<0.05).The social function,affective function and physical pain score of the observation group were significantly better than the control group(P<0.05).The amount of bleeding in the observation group was(250.4±41.0)ml,which was significantly lower than that in the control group(267.5±32.8)ml.The time required for the operation was(90.2±35.4)min,which was significantly lower than that of the control group(104.5±22.6)min(P<0.05).After treatment,the prognosis was 70.00%and the excellent and good rate was 98.00%,which was significantly higher than that of the control group(46.00%)and 78.00%(P<0.05).Conclusion:Thoracolumbar fractures in patients with dilated channel minimally invasive single-segment reduction and internal fixation treatment can effectively repair the patient's vertebral height and Cobb angle and the degree of correction after surgery was significantly better,safer and worthy of clinical recommended use.展开更多
目的:骨水泥强化椎弓根螺钉技术近年来被广泛应用于合并骨质疏松的脊柱内固定手术中,可以显著提高固定强度,但与常规椎弓根螺钉内固定比较是否更具有优势尚缺乏循证医学定论。文章系统评价骨水泥强化椎弓根螺钉固定治疗骨质疏松性胸腰...目的:骨水泥强化椎弓根螺钉技术近年来被广泛应用于合并骨质疏松的脊柱内固定手术中,可以显著提高固定强度,但与常规椎弓根螺钉内固定比较是否更具有优势尚缺乏循证医学定论。文章系统评价骨水泥强化椎弓根螺钉固定治疗骨质疏松性胸腰椎退行性疾病的临床疗效及安全性。方法:在中国知网、中国生物医学文献、万方、维普、PubMed、Cochrane Library、Web of Science以及Embase数据库中,检索有关传统椎弓根螺钉与骨水泥强化螺钉固定治疗骨质疏松性胸腰椎退行性疾病的临床对照研究,按相关标准对文献进行筛选和质量评价,采用Rev Man 5.4软件进行Meta分析。结果:①纳入2篇随机对照研究和18篇回顾性队列研究,共20篇文献,包括1566例患者,其中骨水泥强化螺钉组789例,传统螺钉组777例;②Meta分析结果显示,骨水泥强化螺钉组术后日本矫形外科协会评分、椎间隙高度及融合率均高于传统螺钉组(MD=1.60,95%CI:1.14,2.07,P<0.00001;MD=1.26,95%CI:0.62,1.90,P=0.0001;OR=11.24,95%CI:2.86,44.14,P=0.0005),手术时间长于传统螺钉组(SMD=0.82,95%CI:0.42,1.23,P<0.0001),术后目测类比评分、Oswestry功能障碍指数及螺钉松动率均低于传统螺钉组(MD=-0.50,95%CI:-0.78,-0.21,P=0.0007;SMD=-0.49,95%CI:-0.88,-0.10,P=0.01;OR=0.08,95%CI:0.05,0.12,P<0.00001),两组间住院时间、术中出血量、术后引流量比较差异无显著性意义(P>0.05)。结论:相较于传统椎弓根螺钉固定,骨水泥强化椎弓根螺钉固定治疗骨质疏松性胸腰椎退行性疾病时更能有效改善术后融合率及椎间隙高度、降低术后螺钉松动率,提高远期临床疗效。展开更多
目的探讨采用改良机器人示踪器固定方式行经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床效果。方法回顾性分析2018年5月至2023年5月我院行经皮椎弓根螺钉内固定治疗的105例胸腰椎骨折患者的临床资料,其中采用改良机器人辅助置钉54例,传...目的探讨采用改良机器人示踪器固定方式行经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床效果。方法回顾性分析2018年5月至2023年5月我院行经皮椎弓根螺钉内固定治疗的105例胸腰椎骨折患者的临床资料,其中采用改良机器人辅助置钉54例,传统开放徒手置钉51例。采用Gertzbein-Robbins分类标准对置钉精确度进行评估,记录并比较两组患者手术时间、术中出血量、透视次数、手术切口、住院时间等围术期指标及术后并发症,分析比较两组手术前后疼痛VAS评分、椎体高度及Cobb角。结果组间比较,改良机器人辅助组手术切口长度、术中透视次数、术中出血量、术后住院时间、术后1 d和3 d VAS评分及并发症发生率均优于传统开放徒手组,差异均有统计学意义(P<0.05);两组置钉精确度、置钉优良率、手术时间、椎体高度恢复及骨折节段Cobb角比较,均无统计学差异(P>0.05)。结论应用改良机器人辅助经皮椎弓根螺钉内固定治疗胸腰椎骨折创伤小,患者疼痛轻,术后恢复快,安全可靠,值得基层医院进一步应用推广。展开更多
文摘Objective:To evaluate the clinical effect of posterior internal fixation and fusion in the treatment of thoracolumbar fractures.Methods:36 patients with thoracolumbar fractures from January 2018 to December 2020 were selected and divided into study group and control group according to the random number table model.The control group was treated with anterior internal fixation,while the study group was treated with posterior internal fixation and fusion.The indexes of the two groups were compared and analyzed.Results:Compared with the operation related indexes of the two groups,the study group had more advantages(P<0.05);The postoperative kyphosis Cobb angle,height of anterior and posterior vertebral body,wedge index of the two groups were better than those before operation(P<0.05),and there was no significant difference between the two groups(P>0.05);There was no significant difference between the two groups(P>0.05).Conclusion:The clinical effect of posterior internal fixation and fusion in the treatment of thoracolumbar fractures is significant,and the body damage is slight,which is worthy of comprehensive promotion.
文摘Objective To explore the effects of the anterior internal fixation systems on the post-operative lateral angulation in treatment of thoracolumbar fractures.Methods A retrospective study was done to analyze the 172 patients who had
文摘Objective:To study the clinical effect of minimally invasive single-segment reduction and internal fixation in patients with thoracolumbar fractures.Methods:From June 2013 to June 2014,100 patients with thoracolumbar fractures were selected as the subjects and they were randomly divided into observation group(50 cases)and control group(50 cases).The patients in the observation group were treated with minimally invasive singlesegment reduction and internal fixation.The patients in the control group were treated with short segmental fixation.The clinical effects of the two groups were compared.Results:There was no significant difference in the compression rate and Cobb angle between the two groups before and after operation(P>0.05).For all patients who were followed up for the last time,the Cobb angle was significantly lower in the observation group than in the control group(P<0.05).The social function,affective function and physical pain score of the observation group were significantly better than the control group(P<0.05).The amount of bleeding in the observation group was(250.4±41.0)ml,which was significantly lower than that in the control group(267.5±32.8)ml.The time required for the operation was(90.2±35.4)min,which was significantly lower than that of the control group(104.5±22.6)min(P<0.05).After treatment,the prognosis was 70.00%and the excellent and good rate was 98.00%,which was significantly higher than that of the control group(46.00%)and 78.00%(P<0.05).Conclusion:Thoracolumbar fractures in patients with dilated channel minimally invasive single-segment reduction and internal fixation treatment can effectively repair the patient's vertebral height and Cobb angle and the degree of correction after surgery was significantly better,safer and worthy of clinical recommended use.
文摘目的:骨水泥强化椎弓根螺钉技术近年来被广泛应用于合并骨质疏松的脊柱内固定手术中,可以显著提高固定强度,但与常规椎弓根螺钉内固定比较是否更具有优势尚缺乏循证医学定论。文章系统评价骨水泥强化椎弓根螺钉固定治疗骨质疏松性胸腰椎退行性疾病的临床疗效及安全性。方法:在中国知网、中国生物医学文献、万方、维普、PubMed、Cochrane Library、Web of Science以及Embase数据库中,检索有关传统椎弓根螺钉与骨水泥强化螺钉固定治疗骨质疏松性胸腰椎退行性疾病的临床对照研究,按相关标准对文献进行筛选和质量评价,采用Rev Man 5.4软件进行Meta分析。结果:①纳入2篇随机对照研究和18篇回顾性队列研究,共20篇文献,包括1566例患者,其中骨水泥强化螺钉组789例,传统螺钉组777例;②Meta分析结果显示,骨水泥强化螺钉组术后日本矫形外科协会评分、椎间隙高度及融合率均高于传统螺钉组(MD=1.60,95%CI:1.14,2.07,P<0.00001;MD=1.26,95%CI:0.62,1.90,P=0.0001;OR=11.24,95%CI:2.86,44.14,P=0.0005),手术时间长于传统螺钉组(SMD=0.82,95%CI:0.42,1.23,P<0.0001),术后目测类比评分、Oswestry功能障碍指数及螺钉松动率均低于传统螺钉组(MD=-0.50,95%CI:-0.78,-0.21,P=0.0007;SMD=-0.49,95%CI:-0.88,-0.10,P=0.01;OR=0.08,95%CI:0.05,0.12,P<0.00001),两组间住院时间、术中出血量、术后引流量比较差异无显著性意义(P>0.05)。结论:相较于传统椎弓根螺钉固定,骨水泥强化椎弓根螺钉固定治疗骨质疏松性胸腰椎退行性疾病时更能有效改善术后融合率及椎间隙高度、降低术后螺钉松动率,提高远期临床疗效。
文摘目的探讨采用改良机器人示踪器固定方式行经皮椎弓根螺钉内固定术治疗胸腰椎骨折的临床效果。方法回顾性分析2018年5月至2023年5月我院行经皮椎弓根螺钉内固定治疗的105例胸腰椎骨折患者的临床资料,其中采用改良机器人辅助置钉54例,传统开放徒手置钉51例。采用Gertzbein-Robbins分类标准对置钉精确度进行评估,记录并比较两组患者手术时间、术中出血量、透视次数、手术切口、住院时间等围术期指标及术后并发症,分析比较两组手术前后疼痛VAS评分、椎体高度及Cobb角。结果组间比较,改良机器人辅助组手术切口长度、术中透视次数、术中出血量、术后住院时间、术后1 d和3 d VAS评分及并发症发生率均优于传统开放徒手组,差异均有统计学意义(P<0.05);两组置钉精确度、置钉优良率、手术时间、椎体高度恢复及骨折节段Cobb角比较,均无统计学差异(P>0.05)。结论应用改良机器人辅助经皮椎弓根螺钉内固定治疗胸腰椎骨折创伤小,患者疼痛轻,术后恢复快,安全可靠,值得基层医院进一步应用推广。
