摘要
目的探讨微创经皮长尾定向椎弓根钉内固定术治疗胸腰椎骨折的临床疗效及价值。方法回顾性分析自2006年3月～2010年1月获治疗的66例无神经系统症状胸腰椎骨折的资料,根据手术方式分成微创经皮组36例和传统开放组30例。结果随访时间为12～18个月,平均14.6个月。微创经皮组较传统开放组具有恢复快、住院时间短、术中出血和术后引流量均显著减少,术后疼痛轻等优点。两组Cobb角、椎体前缘高度、椎间隙高度等术后较术前均有显著的恢复(P<0.05),两组间差异无统计学意义(P>0.05)。两组组内VAS评分、ODI指数术后较术前明显减少(P<0.05),微创经皮组较传统开放组明显减少(P<0.05)。结论微创经皮长尾定向椎弓根钉内固定术是治疗无神经障碍胸腰椎骨折的有效方法。
Objective To investigate the effect and value of minimally invasive percutaneous long tail directional screw internal fixation of vertebral pedicle surgery for the treatment of thoracolumbar fracture. Methods Form March 2006 to January 2010,clinical data of 66 patients with thoracolumbar fracture but without neurologic signs and symptoms were analyzed retrospectively. All patients were divided into minimally invasive surgery group （36 cases） and conventional group （30 cases）. Results The mean foUow-up time was 14.6 months （from 12 to 18 months）. Minimally invasive had some advantages of less pain, rapid recovery, low complications, tiny wound, less operative and postoperative blood loss, and lower postoperative incidence rate. The height of anterior edge of vertebral body,the Cobb＇s angle and the disc height increased significantly postoperatively （P 〈005）, but not significantly between two groups （P 〉0.05）. The VAS and ODI was significantly decreased after operation （P 〈0.05）. Conclusion It is effciently that minimally invasive long tail directional screw internal fixation of vertebral pedicle surgery for the treatment of thoracolumbar fracture of patients without neurologic signs and symptoms.
出处
《中国骨与关节损伤杂志》
2012年第11期978-980,共3页
Chinese Journal of Bone and Joint Injury
关键词
经皮
内固定术
长尾椎弓根钉
微创
胸腰椎骨折
Percutaneous
Intemal fixation
Long tail directlonal
Minimally invasive
Thoracolumbar fracture
