摘要
目的评价椎体内植骨和非植骨治疗胸腰椎骨折的治疗效果。方法2007年2月～2009年1月门诊随访胸腰椎压缩性骨折术后患者63例,术后平均随访26.8个月。其中传统切开复位内固定术后患者29例,切开复位内固定并椎体内植骨患者34例。对随访病例行常规X线片检查,患椎行骨密度测定。比较3组病例的术后伤椎高度、后凸角度变化、骨密度及JOA评分情况。结果植骨组伤椎高度及后凸角度丢失与非植骨组相比差异有统计学意义(P<0.05)。而伤椎骨密度则明显高于非植骨组。植骨组术后JOA评分高于未植骨组。手术时间及出血量相比传统切开复位内固定无显著增加。结论切开复位内固定并椎体内植骨总体疗效优于传统切开复位内固定,且实施简便,不增加手术难度,值得临床推广。
Objective To evaluate therapeutical effect between bone grafting and non-bone grafting cases in thoraco-lumbar fracture.Methods All of the 63 cases had been followed up from February 2007 to January 2009.The average follow-up period was 26.8 months.Traditional open reduction and internal fixation was performed in 29 cases,and the other 34 cases received additional bone grafting.During the follow-up,X-rays and bone mineral density（BMD） were used on all the patients to compare the vertebra height,degree,BMD and JOA score between the 2 groups.Results Bone grafting group was better in lost of reduction and JOA evaluation.BMD of bone grafting group was also higher.There was no difference in operation time and bleeding volume of the 2 groups.Conclusion Generally,intra-vertebra bone grafting is better than traditional operation.Operation technique is not difficult as well.
出处
《脊柱外科杂志》
2010年第1期7-10,共4页
Journal of Spinal Surgery
关键词
胸椎
腰椎
脊椎骨折
骨移植
内固定器
随访研究
Thoracic vertebrae
Lumbar vertebrae
Spinal fractures
Bone transplantation
Internal fixators
Follow-up studies
