椎弓根螺钉联合连接棒内固定法治疗胸腰段脊柱骨折的临床效果分析  

Clinical Analysis on pedicle screw joint connecting rod fixation method for treatment of thoracic lumbar spine fracture

作　　者：刘劲松 LIU Jin-song(Department of First Orthopaedics, The General Hospital of Nuclear Industry of Liaoning Province, Huludao 125100)

机构地区：[1]辽宁省核工业总医院骨一科,辽宁葫芦岛125100

出　　处：《中国伤残医学》2016年第20期5-6,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探究椎弓根螺钉联合连接棒内固定法治疗胸腰段脊柱骨折的临床效果。方法：选自我院2013年12月～2014年11月期间所收治的54例胸腰段脊柱骨折患者，均给予椎弓根螺钉联合连接棒内固定法治疗，比较本组患者治疗前后椎体前、后缘的改善情况、脊髓神经功能的改善情况、Cobb’ s角度变化、VAS评分、JOA评分以及术后并发症情况。结果：所有患者术后的椎体前缘高度较治疗前有所提高，椎体后缘高度较治疗前有所提高，脊髓神经功能较治疗前有明显改善，Cobb’ s角度、VAS评分、JOA评分较治疗前有明显改善，均P＜0．05；且无1例发生严重并发症。结论：椎弓根螺钉联合连接棒内固定法治疗胸腰段脊柱骨折效果显著，可有效提高患者的椎体前、后缘高度，改善脊髓神经功能，值得临床广泛推广。Objective：To explore the pedicle screw joint connecting rod fixation method for treatment of thoracic lumbar spine frac-ture.Methods：Choose self institute in December 2013 -November 2014 the independent during the period of 54 patients with thoracic lumbar spine fracture, joint connecting rods are given pedicle screws fixation method of treatment, the comparison group before and after treatment in patients with vertebral before body, the improvement of the trailing edge, the improvement of the spinal cord function, Cobb＇s Angle change, VAS score, JOA score and postoperative complications.Results：All patients with postoperative of anterior edge height was increased, the height of vertebral rear was improved, the spinal cord function obviously improved compared with before treatment, Cobb＇s Angle, VAS score, JOA score before treatment were obviously improved, P 〈0.05; And no severe complications occurred in 1 case.Conclusion：pedicle screw joint connecting rod fixation method of treatment of thoracic lumbar spine fracture effect is remarkable, which can effectively improve the patient＇s fanterior, trailing edge height, to improve the function of spinal cord, is worth clinical populari-zing widely.

关 键 词：椎弓根螺钉 连接棒 内固定 胸腰段脊柱骨折 

分 类 号：R683.2[医药卫生—骨科学]