摘要
目的对胸腰段爆裂骨折采取伤椎椎弓根螺钉固定横突间植骨治疗的效果进行研究分析。方法选取我院的96例胸腰段爆裂骨折患者来研究分析,将患者分组,两组均为48例。植骨组使用伤椎椎弓根螺钉固定横突间植骨治疗,不植骨组使用单纯椎弓根钉棒系统内固定治疗,对两组术前和术后90 d伤椎椎体的前后缘压缩变化率、神经功能、脊柱后凸角等情况进行比较分析。结果术前不植骨组患者的优良率是10.42%;植骨组是8.33%,两组结果无统计学差异性(χ~2=0.123,P=0.500);术后90 d,不植骨组的优良率是43.75%,植骨组的优良率是83.5%,两组结果存在统计学差异性(χ~2=20.364,P=0.001)。经过1年随访,两组的内固定物断裂、松动情况对比存在统计学差异性(χ~2=5.352,P=0.020)。结论对于胸腰段爆裂骨折患者,伤椎椎弓根螺钉固定横突间植骨治疗能够预防畸形的发展、有利于患者康复活动。
Objective The thoracolumbar burst fracture vertebral pedicle screw fixation by intertransverse curative effect analysis. Methods Selected 96 cases of thoracolumbar burst fractures in our hospital. The patients were divided into 48 groups, two cases were all divided into two groups. Bone graft group using pedicle screw fixation and intertransverse bone graft group treatment, not only pedicle screw fixation for the treatment, comparison of the two groups before and after surgery before and after 90 d to the edge of vertebral compression rate, nerve function, spinal kyphosis were analyzed. Results Not with the excellent rate of preoperative bone patients was 10.42%; bone graft group was 8.33%, the two groups showed no statistically significant difference （χ^2=0.123, P=-0.500）; 90 d after operation, the excellent and good rate without bone graft group was 43.75%, the excellent rate of the bone graft group was 83.5%, there were significant differences of the two sets of results （χ^2=20.364, P=0.001）. After 1 year of follow-up, there were significant differences between the two groups in the fracture and loosening of the internal fixators （χ^2=5.352, P=0.020）. Conclusion For thoracolumbar burst fractures with vertebral pedicle screw fixation, intertransverse treatment can prevent abnormal development, conducive to rehabilitation of patients.
出处
《中国继续医学教育》
2017年第12期168-169,共2页
China Continuing Medical Education
关键词
椎弓根螺钉固定
横突间
胸腰段爆裂骨折
pedicle screw fixation
transverse process
thoracolumbar burst fracture
