摘要
目的探究经椎弓根椎体内植骨联合短节段椎弓根钉内固定术对老年骨质疏松性脊柱骨折患者的疗效评价。方法选择本院2017年11月至2018年11月期间收治的36例老年骨质疏松性脊柱骨折的患者作为研究对象,按照不同的手术方式将患者分为观察组和对照组两组,每组患者各18例,观察组应用椎弓根椎体内植骨联合短节段椎弓根钉内固定术进行治疗,对照组则采用单纯短节段椎弓根钉内固定术进行治疗,将两组患者的治疗效果、手术时长、住院时长、疼痛评分、骨折恢复时长相关指标进行对比。结果观察组的治疗效果要远高于对照组,差异有统计学意义(P<0.05);观察组在手术时长,住院时长,疼痛评分以及骨折恢复时长方面优于对照组,差异有统计学意义(P<0.05)。结论经椎弓根椎体内植骨联合短节段椎弓根钉内固定术对老年骨质疏松性脊柱骨折患者的疗效显著,值得进一步研究推广。
Objective To evaluate the efficacy of transpedicular vertebral bone graft combined with short-segment pedicle screw fixation in elderly patients with osteoporotic spinal fractures.Methods 36 patients were selected as subjects with senile osteoporotic spinal fractures who were admitted to our hospital from November 2017 to November 2018.The patients were divided into observation group and control group according to different surgical methods,with 18 cases in each group.The observation group was treated with pedicle bone grafting combined with short-segment pedicle screw fixation.The control group was treated with simple short-segment pedicle screw fixation.The treatment outcomes,duration of surgery,length of hospital stay,pain score,and duration of fracture recovery were compared between the two groups.Results The therapeutic effect of the observation group was much higher than that of the control group was statistically significant(P<0.05).The observation group was superior to the control group in terms of length of surgery,length of hospital stay,pain score and length of fracture recovery(P<0.05).Conclusion The pedicle bone graft combined with short-segment pedicle screw fixation is effective in the treatment of elderly patients with osteoporotic spinal fractures,which is worthy of further research and promotion.
作者
尹桂明
Yin Guiming(Department of Orthopedics,Wucheng County People' s Hospital of Shandong Province,Dezhou,Shandong,253300,China)
出处
《当代医学》
2019年第22期40-42,共3页
Contemporary Medicine
关键词
经椎弓根椎体内植骨
短节段椎弓根钉内固定术
老年骨质疏松性脊柱骨折
Transpedicular vertebral bone grafting
Short segment pedicle screw fixation
Osteoporotic spinal fracture in the elderly
