通用型脊柱内固定系统治疗胸腰椎骨折3种手术方法的疗效评价  

Evaluation of three surgical methods for thoracolumbar fractures using general spine system

作　　者：吴任涛[1] 李保良[2] 王建民[2] 王虎[2] 魏思奇[2] 孙景福[2] 罗军[2] 

机构地区：[1]广东医学院,广东湛江524023 [2]广东医学院附属东莞厚街医院骨科一区,广东东莞523000

出　　处：《广东医学院学报》2014年第2期147-150,共4页Journal of Guangdong Medical College

摘　　要：目的比较通用型脊柱内固定系统治疗胸腰椎骨折3种手术方法的疗效。方法 84例胸腰椎骨折患者分为3组,A组采用常规4钉法撑开复位内固定术,B组采用伤椎置钉6钉法撑开复位内固定术,C组采用伤椎置钉6钉法内固定并I期经椎弓根植骨术。比较术后疼痛视觉模拟(VAS)评分及Cobb角、椎体前缘高度变化。结果术后18个月内固定取出后C组VAS评分明显低于A、B组(P<0.05)。B、C组术后Cobb角和椎体前缘高度的恢复比A组更理想(P<0.05),但只有C组Cobb角和椎体前缘高度在内固定取出前后均无明显变化。结论伤椎置钉6钉法内固定并I期经椎弓根植骨术治疗胸腰椎骨折的疗效较好。Objective To compare the curative effect of three surgical methods on thoracolumbar fractures using general spine system. Methods Eighty-four cases of thoracolumbar fractures were divided into 3 groups. Groups A, B, and C were treated with 4-nail internal fixation, 6-nail internal fixation, and 6-nail internal fixation plus phase I pedicle bone graft. Postoperative visual analog scale（VAS） pain score, Cobb angle, and vertebral height of anterior edge were compared. Results VAS score was lower in Group C than that in Groups A and B in 18 months after fixation removal（P〈0.05）. Postoperative Cobb angle and vertebral height improved obviously in Groups B and C compared with Group A（P〈0.05）, but only Group C showed no change of Cobb angle and vertebral height before and after fixation removal. Conclusion The therapeutic efficacy of 6-nail internal fixation plus phase I pedicle bone graft is satisfactory for the thoracolumbar fractures.

关 键 词：胸腰椎骨折 椎弓根 内固定 

分 类 号：R681.53[医药卫生—骨科学]