摘要
目的探讨分析跨伤椎与经伤椎两种固定方式治疗胸腰段脊柱骨折的临床效果。方法选取30例胸腰段脊柱骨折患者,随机分为对照组和观察组,各15例。对照组采用跨伤椎固定方法,观察组采用经伤椎固定方法,比较两组治疗效果。结果两组患者术前VAS、JOA评分比较,差异无统计学意义(P>0.05),术后两组患者VAS、JOA评分均有显著改善(P<0.05),组间VAS、JOA评分比较,差异无统计学意义(P>0.05)。观察组术后即刻Cobb角度数、即刻矫正度、术后半年Cobb角及矫正丢失度均显著优于对照组患者的相应指标(P<0.05)。结论经伤椎固定治疗胸腰段脊柱骨折,疗效显著,值得推广应用。
Objective To compare the clinical curative effect on pedicle strew fixation via the injured vertebra and across the injured vertebra to thoracolumbar spine fracture. Methods Thirty cases of patients with thoracolumbar spine fracture were selected and divided into control group （using via the injured vertebra） and observation group （using across the injured vertebra）, 15 cases in each group, The clinical curative effects of two groups were compared. Results Before the surgery, the VAS score and JOA score between the two groups had not statistical difference（P〉0.05）; after the surgery, the VAS score and JOA score of the two group were significantly improved（P〈0.05）, and the VAS score and JOA score between the two groups was not statistically difference（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 of the observation group was statistically better than that of the control group （P〈0.05）. Conclusion The clinical curative effect of pediele screw fixation via the ingured vertebra is better than that of across the injured vertebra fixation, and is worth promoting.
出处
《临床医学研究与实践》
2016年第17期116-117,共2页
Clinical Research and Practice
关键词
胸腰椎骨折
经伤椎固定
跨伤椎固定
thoracolumbar spine fracture
fixation via the injured vertebra
fixation across the injured vertebra
