经伤椎钉棒固定与跨伤椎钉棒固定治疗胸腰段椎体爆裂性骨折效果的比较  

Comparison of Clinical Effects between Transpedicular Fixation and Pedicle Screw Fixation at Injured Level on Treatment of Thoracolumbar Burst Fractures

作　　者：田大为[1] 刘娜[1] 张鹏[1] 黄晓华[1] 赵辉[1] 熊敏[1] 

机构地区：[1]湖北医药学院附属东风医院骨科研究所,湖北十堰442000

出　　处：《湖北医药学院学报》2016年第5期445-448,共4页Journal of Hubei University of Medicine

基　　金：湖北省卫生计生科研基金资助项目(WJ2015MB 217);2014年十堰市科学技术研究与开发项目计划资助项目(14K72);湖北医药学院2014年度优秀中青年科技创新团队自主计划项目资助(2014CXZ04);湖北医药学院2014年教学研究立项项目(校级一般课题)(2014059)

摘　　要：目的:探讨两种椎弓根钉棒系统固定治疗胸腰段椎体爆裂性骨折的临床效果。方法:回顾性分析我院自2009年6月-2012年1月收治的胸腰段椎体爆裂性骨折32例,使用椎弓根钉棒系统固定。随机分成两组,实验组采用经伤椎固定,对照组采取常规跨伤椎固定。统计两组手术时间,出血量及伤口长度,并发症的发生率;测量两组不同时间段的Cobb角,伤椎前缘高度;采用疼痛视觉模拟评分法(visual analogue scale,VAS)评估疼痛程度。结果:两组手术时间、手术出血量及伤口长度经比较差异无统计学意义。两组术后1周、3月、6月、1年的Cobb角、伤椎前缘高度及VAS评分比较差异均有统计学意义;术后1年Danis疼痛评分及功能评分差异有统计学意义。结论:经伤椎短节段椎弓根螺钉固定有助于骨折椎体高度的恢复,以及脊柱矫形度的维持,对于治疗胸腰段单椎体骨折具有较好效果。Objective To investigate the clinical effects of transpedicular fixation and pedicle screw fixation at the injured level on treatment of thoracolumbar burst fractures. Methods From June 2009 and January 2012,total 32 patients with burst fracture were hospitalized in our institutes and firstly treated with pedicle screw fixation,and then the patiens were randomly divided into observation group and control group. The patients in observation group and control group were treated with pedicle screw fixation at the injured level and transpedicular fixation,respectively. The operation time,bleeding volume,wound length,incidence of complications,cobb angle at different time points,height of anterior fractured vertebral body and VAS score were recorded and statistically analyzed. Results There was no statistical differences in operation time,bleeding volume,wound length between two groups,however there were significant differences in cobb angle,height of anterior fractured vertebral body,VAS scores at one week,three months,six months and one year postoperation; Danis scores and functional scores at one year postoperation were significant differences between two groups. Conclusion Pedicle screw fixation at the injured level could be effectively used for treating thoracolumbar burst fractures with its benefit of height recovery and degree maintain of fracture vertebral body.

关 键 词：经伤椎 跨伤椎 钉板系统固定 胸腰段椎体爆裂性骨折 

分 类 号：R687.3[医药卫生—骨科学]