摘要
目的对比分析经伤椎单侧固定与跨伤椎固定治疗胸腰段脊柱骨折的临床疗效。方法回顾性分析2010年5月—2014年4月该院脊柱外科收治的81例胸腰段脊柱骨折的临床资料,将43例接受经伤椎单侧固定的患者作为观察组,38例接受跨伤椎固定的患者作为对照组,对比分析二组手术前后影像学指标的变化与临床疗效。结果观察组所有病例均完成经伤椎单侧置钉,观察组与对照组相比较,其术前VAS、JOA评分及Cobb角度差异无统计学意义(P>0.05),术后VAS、JOA评分比较差异亦无统计学意义(P>0.05),术后观察组即刻Cobb角度、即刻矫正度、术后半年Cobb角度及术后半年矫正丢失度均显著优于对照组(P<0.05)。结论经伤椎单侧固定治疗胸腰段脊柱骨折复位效果更佳,术后能够较好地维持脊柱矫正度。
Objective To compare the clinical curative effect of unilateral pedicle screw fixation via the injured vertebra and the across the injured vertebra for thoracolumbar spine fracture.Methods The clinical data of 81 patients with thoracolumbar spine fracture who came to author＇s hospital from May 2010 to April2014 was retrospectively analyzed.Forty-three patients who accepted unilateral pedicle screw fixation via the injured vertebra were divided into the experimental group,while 38 patients who accepted pedicle screw fixation across the injured vertebra were divided into the control group.The change of imaging indicators and clinical curative effect of two groups were compared and analyzed.Results The difference of preoperative and immediate postoperative JOA and VAS score of between the groups was not statistically different（P〉0.05）;the difference of Cobb＇s angles before the surgery between the two groups was not statistically different（P〉0.05）;the average immediate postoperative Cobb＇s angles,correction of Cobb＇s angle,mean kyphosis correction loss and Cobb＇s angle after 6 months of the experimental group were statistically better than that of the control group（P〈0.05）.Conclusion For the thoracolumbar spine fracture,unilateral pedicle screw fixation via the injured vertebra has a better reset and is better in maintaining the correction of the spine.
出处
《中国煤炭工业医学杂志》
2016年第1期39-42,共4页
Chinese Journal of Coal Industry Medicine
基金
聊城市卫生局科研立项项目
聊卫医函20142号-162
关键词
骨折
胸腰段脊柱
跨伤椎固定
经伤椎
单侧置钉
Thoracolumbar spine fracture
Fixation via the injured vertebra
Through the injured vetebra
Unilateral pedicle
