伤椎置钉治疗胸腰段单椎体不完全压缩骨折的临床疗效  

The Clinical Efficacy of Single Segment Injured Thoracolumbar Vertebral Pedicle Screw Fixation Single Vertebral Compression Fractures Incomplete

作　　者：于权[1] 王业华[2] 赵德勇[2] 蒋建[2] 董真[2] 

机构地区：[1]徐州医学院,江苏徐州221000 [2]徐州医学院附属医院,江苏徐州221004

出　　处：《中国医药指南》2015年第19期17-18,共2页Guide of China Medicine

摘　　要：目的 探讨单节段与短节段固定治疗脊柱胸腰段不完全压缩骨折的适应证及临床疗效。方法 对32例胸腰椎单节段骨折患者进行回顾性研究,其中单节段伤椎固定组12例,短节段跨伤椎固定组14例。测量手术前后侧位X片上的伤椎相对高度、伤椎复位率及术后腰痛按Denis分级评估等。结果 随访10∽24个月,平均（15.0±1.2）个月。两组患者的术后伤椎相对高度（P〈0.05）均有显著性的改善,单节段固定组的伤椎复位率（100.8±20.4）%vs（64.8±30.7）%,P〈0.05优于短节段固定组,随访期间腰痛按Denis分级评估：P1,22例,P2,4例。结论 对于合适的胸腰椎单椎体骨折,单节段伤椎固定治疗脊柱胸腰段不完全压缩骨折是安全、有效、可行。Objective To investigate the method and effect of monosegment pedicle instrumentation on thoracolumbar vertebral fracture. Method Patients with thoracolumbar fracture single segment 32 cases were studied retrospectively, which injured 12 cases of single segment vertebral fixation group, short-segment cross- injured vertebra fixation in 14 cases. Measuring the injured vertebra after surgery on the lateral x-chip relative height, injured vertebra reset rate and low back pain by Denis grading assessment. Result Follow-up of 10 to 24 months, the average （15.0±1.2） months. Two groups of patients after the relative height of the vertebral injury （P〈0.05） showed significant improvement in the group＇s fixed single segment vertebral injury reduction rate （100.8±20.4）% vs （64.8±30.7）%, P〈0.05 than short-segment fixation. Low back pain during follow-up assessment by Denis classification： P1, 22 例, P2, 4 cases. Conclusion For the appropriate patients with thoracolumbar vertebral fractures. Intemal fixationof monosegment pediele inslrumentation through posterior approach is asafe and effective method.

关 键 词：胸腰椎骨折 骨折固定术 单节段固定 伤椎置钉 

分 类 号：R687.3[医药卫生—骨科学]