经伤椎椎弓根自体骨植骨联合螺钉内固定术治疗腰椎压缩性骨折的临床疗效分析  

Clinical Effect Analysis of Transpedicular Auto-bone Graft Combined with Screw Fixation Technique in the Treatment of Lumbar Vertebral Compres-sion Fracture

作　　者：宫振刚 

机构地区：[1]吉林省露水河林区医院外科,吉林白山134506

出　　处：《中外医疗》2016年第33期69-70,73,共3页China & Foreign Medical Treatment

摘　　要：目的为有效治疗腰椎压缩性骨折,临床探究螺钉内固定、椎弓根自体骨植骨联合用于疾病治疗的可行性、优越性。方法方便选取2012年5月—2015年6月期间期间该院经诊断为胸腰压缩性骨折入院治疗的80例患者,按双盲法随机分为两组,包括对照组40例、治疗组40例。对照组椎弓根钉内固定,治疗组采用螺钉内固定、椎弓根自体骨植骨联合治疗,对比两组患者椎体高度、Cobb's角恢复情况,同时对术后并发症情况进行统计比较。结果 3年后对照组较治疗组椎体高度丢失严重、Cobb's角增加,P<0.05;治疗组发生率为5.0%,对照组并发症发生率为17.5%,对照组较治疗组术后并发症多,P<0.05。结论对腰椎压缩性骨折为确保其短期、长期治疗效果,避免椎体高度丢失,临床可选择螺钉内固定、椎弓根自体骨植骨联合用于疾病治疗。Curative effectObjective To effectively cure the patients with lumbar vertebral compression fracture and explore the feasibility and advantages of screw fixation technique combined with transpedicular auto-bone graft. Methods Convenient selection 80 patients with lumbar vertebral compression fracture treated from May 2012 to June 2015 in our hospital were selected. The subjects were randomly divided into two groups, 40 cases each group. The control group adopted the pedicle screw fixation;the treatment group adopted the screw fixation technique combined with transpedicular auto-bone graft. The vertebral height, Cobb＇s angle and complications for two groups were compared.Results After 3years of surgery, the vertebral height and Cobb＇s angle for control group was worse than treatment group（P〈0.05）; the incidence rate of complications for treatment group（5.0%） was lower than that of control group（17.5%）（P〈0.05）.Conclusion For patients with lumbar vertebral compression fracture, the screw fixation technique combined with transpedicular auto-bone graft can guarantee the short-term and long-term treatment effect and avoid the loss of vertebral height.

关 键 词：腰椎压缩性骨折 椎体高度 椎弓根自体骨植骨 

分 类 号：R687[医药卫生—骨科学]