摘要
目的探讨短节段椎弓根联合附加伤椎内固定治疗胸腰椎爆裂骨折的临床效果，为临床治疗提供参考。方法选择2009-01～2013-12收治的68例胸腰椎爆裂骨折患者，按随机数字表随机分为观察组和对照组各34例，对照组单纯应用短节段椎弓根螺钉内固定治疗，观察组在对照组治疗的基础上联合附加伤椎内固定治疗，两组患者均随访一年，对比治疗前后矢状面Cobb角、伤椎前缘高度比、VAS疼痛评分、美国脊髓损伤协会（ASIA）神经功能评级。结果术后一年观察组Cobb角为（6．19±1．87）°，明显低于对照组的（7．86±2．76）°，两组比较差异有统计学意义（t=6．247，P=0．008）；术后一年观察组伤椎前缘高度比为（94．22±10．37）％，明显高于对照组的（86．55±9．93）％，两组比较差异有统计学意义（t=4．247，P=0．018）；术后12个月观察组VAS评分为（0．97±0．17），明显低于对照组的（1．69±0．66），两组比较差异有统计学意义（t=3．553，P=0．024）；两组患者ASIA评级比较差异无统计学意义（Z=1．076，P=0．246）。结论胸腰椎爆裂骨折应用短节段椎弓根联合附加伤椎内固定治疗临床效果较好。
Objective To investigate the clinical effect of short-segment pedicle screw fixation for the treatment of thoracolumbar burst fracture and to provide a reference for clinical treatment. Methods 68 patients with thoracolumbar fracture were selected from January 2009 to December 2013 and randomly divided into the observation group and the control group accordding to the digital table. The control group was treated with short-segment pedicle screw fixation and the observation group was treated with the same treatment combined with the additional fixation.The sagittal Cobb angle,the leading edge of vertebral height ratio,VAS pain scores,the American Spinal injury Association( ASIA) neurological rating were recorded in all patients before and after the treatment and compared between the two groups after a follow-up of one year. Results After one year of the treatment,Cobb angle of the observation group was significantly lower than that of the control group [( 6. 19 ± 1. 87) ° vs( 7. 86 ± 2. 76) °,t = 6. 247,P =0. 008]; Vertebral leading edge height ratio of the observation group( 94. 22 ± 10. 37) % was significantly higher than that of the control group( 86. 55 ± 9. 93) %( t = 4. 247,P = 0. 018); VAS score of the observation group( 0. 97 ±0. 17) was significantly lower than that of the control group( 1. 69 ± 0. 66)( t = 3. 553,P = 0. 024); There was no significant difference in ASIA rating between the two groups( Z = 1. 076,P = 0. 246). Conclusion Short-segment pedicle screw fixation in combination with vertebral fixation has a good clinical effect on thoracolumbar burst fractures.
出处
《中国临床新医学》
2015年第9期842-845,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
短节段椎弓根
胸腰椎爆裂骨折
内固定
Short-segment pedicle
Thoracolumbar burst fracture
Internal fixation
