无神经损伤胸腰椎骨折两种治疗方法的临床对比研究  

Clinical comparison between the two therapies for thoracolumbar fracture without neurological deficit.

作　　者：黄立成[1] 方文广[1] 余金胜[1] 李建军[1] 

机构地区：[1]广东省惠州市惠阳区人民医院,广东惠州516211

出　　处：《海南医学》2009年第12期40-41,共2页Hainan Medical Journal

摘　　要：目的探讨和比较AF系统治疗无神经损伤胸腰椎骨折是否植骨的临床疗效。方法将48例胸腰椎骨折患者随机分为两组:A组(n=20)先行AF系统固定,后经椎弓根向复位椎体内植入自体骨;B组(n=28)采用单纯AF系统内固定。对两组治疗后的后凸畸形角度及矫正角度、椎体前缘高度进行测量比较。结果后凸畸形术后矫正度数较术前两组均很明显。随访中,A组矫正度数的丢失明显小于B组(P<0.01);术后伤椎前缘高度百分比增加值两组比较差异有统计学意义(P<0.01),A组伤椎椎体前缘高度无丢失(P<0.01),B组伤椎椎体前缘高度有丢失(P<0.05)。结论AF系统内固定加自体骨植骨椎体成形术安全,效果满意,价格低廉,值得应用。Objective To explore and compare the effect of atlas fixation system with or without fusion on thoracolumbar fractures without neurological deficit. Methods 48 patients with thoracolumbar vertebrae fractures without neurological deficit were divided into two groups. Group A （ n = 20） was fixed with atlas fixation system, and then the bone autograft was implanted into the reduced vertebral body through pedicular vertebrae. Group B （ n = 28） were not treated with the bone autograft. Kyphotic deformity and anterior vertebral height were compared between the two groups. Results Kyphosis correction was achieved in group A and group B. At the end of the follow - up period, kyphosis correction was maintained in group A, but lost in group B （ P 〈 0.01 ）. After surgery, greater anterior vertebral height was achieved in group A than that in group B （ P 〈 0.01 ）. During follow - up, anterior vertebral height was maintained only in group A （ P 〈 0.01 ）. Condusion Surgical treatment of thoracolumbar fracture with pedicle screw atlas fixation system with fusion is safe, effective, less expensive, and worth being widely implicated.

关 键 词：胸腰椎骨折 无神经损伤 AF系统 手术治疗 自体骨 

分 类 号：R683.2[医药卫生—骨科学]