摘要
目的探讨对非相邻型多节段脊柱骨折患者采用短节段椎弓根钉内固定方案治疗的效果。方法收集我院骨科2015年1月~2017年1月接收的80例非相邻型多节段脊柱骨折患者,随机分成参考组和研究组,各40例。参考组以长节段椎弓根内固定方案治疗,研究组以短节段椎弓根内固定方案治疗,观察两组的治疗情况及疗效。结果研究组的手术操作时间短于参考组,手术出血量少于参考组,差异有统计学意义(P<0.05)。研究组的术后各项并发症发生率低于参考组,差异有统计学意义(P<0.05)。研究组术后的Frankel分级优于参考组,差异有统计学意义(P<0.05)。研究组术后的伤椎前缘高度比高于参考组,Cobb角小于参考组,差异有统计学意义(P<0.05)。结论对非相邻型多节段脊柱骨折患者采用短节段椎弓根钉内固定方案治疗的效果显著,安全性高,值得借鉴。
Objective To explore the clinical effects of short segment pedicle screw fixation in treatment of non-adjacent multi segmental spinal fractures.Methods 80 cases of non-contiguous spinal fractures in our hospital of Departmerit of orthopedics ward from January 2015 to January 2017 were selected and randomly divided into the reference group and the study group,40 cases in each group.The reference group was treated with long segmental pedicle screw fixation,while the study group was treated with short segment pedicle screw fixation.Then,the treatment condition and clinical efficacy of the two groups were observed.Results The operation time of the study group was shorter than that of the reference group,and the amount of bleeding of the study group was less than that of the reference group,with signif- icant difference （P〈0.05）.The incidence rate of postoperative complications in the study group was lower than that in the reference group,with significant difference （P〈0.05）.The Frankel grade of the study group was better than that of the reference group,with significant difference （P〈0.05）.The anterior height ratio of the injured vertebrae after operation in the study group was higher than that of the reference group,and the Cobb angle after operation in the study group was smaller than that of the reference group,with significant difference （P〈0.05）.Conclusion The clinical treatment effects of short segment pedicle screw fixation in the treatment of non-adjacent multi segmental spinal fractures is significant,the safety is high,it is worth learning.
作者
顾祖超
张宇
GU Zu-chao ZHANG Yu(Department of Orthpethics,the First People＇s Hospital of Chengdu City in Sichuan Province,Chengdu 610014,China)
出处
《中国当代医药》
2017年第13期72-74,共3页
China Modern Medicine
关键词
非相邻型
多节段
脊柱骨折
短节段椎弓根钉内固定
Non-adjacent
Multi segment
Spinal fracture
Short segment pedicle screw fixation
