新型脊柱外固定器联合椎体成形术治疗胸腰椎骨折临床分析  

A new spinal external fixator combined vertebral plasty in the treatment of thoracolumbar fracture clinical analysis

作　　者：浦玉良 

机构地区：[1]河南省永煤总医院,河南永城476600

出　　处：《临床医药文献电子杂志》2015年第2期281-281,284,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨新型脊柱外固定器联合椎体成形术(PVP)治疗胸腰椎骨折的临床效果。方法将我院收治的30例胸腰椎骨折患者采用新型脊柱外固定器联合PVP治疗,对患者临床资料展开回顾分析,并评价手术的临床疗效及安全性。结果所有患者椎弓根螺钉安装均成功。19例行伤椎注射聚甲基丙烯酸甲酯(PMMA),11例行伤椎注射磷酸钙骨水泥(CPC);部分填充14例,均匀填充16例,其中CPC/PMMA出现不同程度渗漏10例。术后VAS疼痛评分由术前平均8.3分降至平均2.1分(P<0.05);术后伤椎Cobb角由术前平均30.6°恢复至11.3°(P<0.05);术后伤椎前缘高度与正常椎体比值由术前平均53.64%恢复到平均96.53%(P<0.001)。未发生严重并发症。结论新型脊柱外固定器联合PVP治疗胸腰椎骨折的临床效果显著,值得推广。Objective To explore a new spinal external fixator combined vertebral plasty（PVP） for treatment of thoracolumbar fractures. Methods Will our hospital 30 cases of thoracolumbar fractures were treated by a new spinal external fixator combined therapy with PVP, Results All patients with pedicle screws installed successfully. 19 routine injured vertebral injection of polymethyl methacrylate（PMMA）, 11 routine injured vertebral injection of calcium phosphate cement（CPC）; Part of the fill in 14 cases, even fill in 16 cases, which CPC/PMMA appear different degree of 10 cases of leakage. Postoperative VAS pain score by preoperative average 8.3 points to average 2.1 points（P〈0.05）; Postoperative recuperating vertebral Cobb Angle from an average of 30.6 ° preoperatively to 11.3 °（P〈0.05）; Postoperative injured vertebral leading edge height and normal vertebral body ratio by 53.64% recovery to the average 96.53% preoperatively（P〈0.001）. Not serious complications occurred. Conclusion A new spinal external fixator combined PVP in the treatment of thoracolumbar fractures effect is remarkable, is worth promoting.

关 键 词：脊柱外固定器 椎体成形术 胸腰椎骨折 

分 类 号：R274.1[医药卫生—中医骨伤科学]