椎体成形术和椎弓根螺丝钉固定治疗椎体压缩性骨折疗效评价  

Evaluation of the Effect of Vertebroplasty and Pedicle Screw Fixation on Vertebral Compression Fractures

作　　者：李晓华 杨长远[2] 郑欣 

机构地区：[1]麻阳苗族自治县人民医院,湖南怀化419400 [2]怀化市第一人民医院,湖南怀化419400

出　　处：《中外医疗》2013年第28期46-47,共2页China & Foreign Medical Treatment

摘　　要：目的探讨评价使用椎体成形术与椎弓根螺丝钉固定2种方法治疗椎体压缩性骨折的临床疗效。方法选取该院收治入院的62例椎体压缩性骨折患者为研究对象,随机分为观察组与对照组,观察组患者实施椎体成形术治疗,对照组患者实施椎弓根螺丝钉固定治疗,对比观察两组患者的临床治疗效果。结果两组患者术后疼痛程度、椎体高度及Cobb角均有明显的改善,且观察组患者改善程度显著优于对照组,并发症发生率显著低于对照组,差异有统计学意义(P﹤0.05)。结论对椎体压缩性骨折患者实施椎体成形术,相对椎弓根钉固定治疗其临床效果更为理想,能够有效缓解患者疼痛,减少术后并发症出现,具有进一步推广应用的价值。Objective To discuss the clinical curative effect of two treatment methods, vertebroplasty and pedicle screw fixation on vertebral compression fractures. Methods 62 patients with vertebral compression fractures admitted in our hospital were selected as the subjects and randomly divided into observation group and control group. The observation group was treated with vertebroplasty and the control group was treated with pedicle screw fixation. The clinical treatment effects of the two groups were compared. Results After the operation, the level of pain, vertebral height and Cobb angle of the two groups were significantly improved. The observation group improved much better than the control group, the incidence of complications was significantly lower than that of the control group; the differences were statistically significant（P锕？.05）. Conclusion Vertebroplasty has more ideal effect on vertebral compression fractures than pedicle screw fixation does, it can relieve the pain of the patients effectively,reduce the incidence of complications postoperative,and is worthy of further popularization and application.

关 键 词：椎体成形术 椎弓根螺丝钉固定 椎体压缩性骨折 临床疗效 

分 类 号：R687[医药卫生—骨科学]