传统后正中入路与改良后椎旁入路椎弓根螺钉内固定术治疗胸腰椎骨折的临床对比  

Clinical comparision of traditional approach and modified paraspinal approach for thoracolumbar fractures with pedicle screw fixation

作　　者：祖波[1] 

机构地区：[1]安徽医科大学附属安庆医院骨科,安庆246003

出　　处：《临床医学》2013年第5期4-6,共3页Clinical Medicine

摘　　要：目的探讨和比较传统后正中入路与改良后椎旁入路椎弓根螺钉内固定术治疗胸腰椎骨折的临床经验和疗效。方法选择2011年10月至2012年10月安徽医科大学附属安庆医院收治的无神经损伤胸腰椎压缩性骨折患者36例,其中20例采用传统后正中入路椎弓根螺钉内固定术治疗,16例采用改良后椎旁入路椎弓根螺钉内固定术,对两组手术时间、手术出血量、术后伤椎前缘高度恢复、Cobb角等指标进行比较。结果所有患者均顺利完成手术治疗。改良组与传统组比较,在手术时间、术中出血量、术后引流量等指标上比较差异均有统计学意义(P<0.05),但两组术后伤椎前缘高度恢复、Cobb角等指标比较差异无统计学意义(P>0.05)。结论改良后椎旁入路椎弓根螺钉内固定术治疗胸腰椎骨折创伤小、失血少、手术时间短、功能恢复快,是一种理想的方法。Objective To investigate and compare the clinical experience and efficacy of pedicle screw fixation for thoracolumbar fratures with traditional approach and modified paraspinal approach.Methods Thirty-six cases of thoracolumbar fractures without nerve injury admitted in Anqing hospital from October 2011 to October 2012 were selected.Twenty patients were treated by pedicle screw fixation through traditional approach and 16 cases were treated by modified paraspinal approach.The operation time,blood loss,postoperative improvement of anterior height of the fracture verterbral in the two groups were compared.Results All patients underwent the treatment of pedicle screw fixation.There were significant differences in the surgical time,surgical blood loss,surgical draining loss between the two groups（P0.05）.However,there were no significant differences in postoperative improvement of Cobb angles,anterior height of the fracture vertebral body between the two groups（P0.05）.Conclusion The treatment of pedicle screw fixation for thoracolumbar fratures with modified paraspinal approach has the advantage of minimal trauma,fewer bleeding,less operative time and rapid functional recovery,which is a ideal way.

关 键 词：胸腰椎骨折 手术入路 椎旁肌 椎弓根钉内固定 

分 类 号：R687.3[医药卫生—骨科学]