胸腰段椎体骨折后路钉棒固定单纯撑开和不撑开经椎弓椎体复位的疗效对比  

Efficacy Comparison of Posterior Pedicle Screw Fixation with or Without Distraction of Arch Vertebral on Thoracolumbar Vertebral Fracture Patients

作　　者：吴镇权[1] 杨昀焯[1] 俞莉敏[1] 胡立生[1] 

机构地区：[1]北京大学深圳医院脊柱外科,广东深圳518036

出　　处：《临床医学工程》2015年第3期269-270,共2页Clinical Medicine & Engineering

摘　　要：目的探讨胸腰段椎体骨折后路钉棒固定单纯撑开和不撑开经椎弓椎体复位的疗效。方法选取胸腰段椎体骨折患者138例,数字随机分为观察组和对照组,每组69例。对照组给予后路钉棒固定不撑开经椎弓椎体复位治疗,观察组给予后路钉棒固定单纯撑开经椎弓椎体复位治疗。对两组术中出血量、手术时间、术后引流量以及临床疗效进行观察。结果观察组术中出血量、手术时间以及术后引流量均明显优于对照组(P<0.05);观察组各疗效指标均显著优于对照组(P<0.05)。结论后路钉棒固定单纯撑开经椎弓椎体复位治疗胸腰段椎体骨折患者,操作简单,出血量少,疗效显著,值得推广与使用。Objective To investigate the efficacy of posterior pedicle screw fixation with or without distraction of arch vertebral on thoracolumbar vertebral fracture patients. Methods 138 cases of patients with thoracolumbar vertebral fractures were selected and randomly divided into observation group and control group, with 69 cases in each group. Patients in control group were given posterior pedicle screw fixation without distraction of arch vertebral, and patients in observation group were given posterior pedicle screw fixation with distraction of arch vertebral. The blood loss, operative time, postoperative drainage and clinical efficacy of two groups were observed. Results The blood loss, operative time and postoperative drainage of observation group were significantly better than those of control group（P〈0.05）. The efficacy of observation group was significantly better than that of control group（P〈0.05）. Conclusions For thoracolumbar vertebral fracture patients, posterior pedicle screw fixation with distraction arch vertebral has advantages of simple operation, low bleeding, and significant efficacy, which is worthy of promotion and use.

关 键 词：胸腰段椎体骨折 椎弓椎体 撑开复位 钉棒固定 

分 类 号：R683.2[医药卫生—骨科学]