胸腰段脊柱骨折治疗中跨伤椎固定和经伤椎固定的临床效果比较  

Comparison on clinical effect of fixation across injured vertebra and via injured vertebra in the treatment of thoracolumbar spinal fractures

作　　者：赵晓龙[1] 秦超[1] 李志浩[1] 文文[1] 熊健[1] 佘远举[1] 

机构地区：[1]长江大学第二临床医学院荆州市中心医院,434000

出　　处：《中国实用医药》2017年第10期65-66,共2页China Practical Medicine

摘　　要：目的比较跨伤椎固定和经伤椎固定治疗胸腰段脊柱骨折的临床效果。方法 70例胸腰段脊柱骨折患者,将其随机分为观察组和对照组,各35例。观察组采用经伤椎固定法进行治疗,对照组采用跨伤椎固定法进行治疗。比较两组患者的治疗效果。结果两组患者术后Cobb角较术前均明显减小,且观察组患者术后Cobb角(2.0±1.4)°、术后即刻矫正度(13.1±8.6)°、术后6个月矫正丢失度(1.2±0.4)°明显优于对照组[(4.4±1.4)、(8.4±4.1)、(1.9±1.0)°],差异均具有统计学意义(P<0.05)。两组患者术后伤椎前后缘相对高度均较术前明显增大,且观察组患者伤椎前后缘术后相对高度、术后即刻矫正度明显大于对照组,术后6个月矫正丢失度明显小于对照组,差异均具有统计学意义(P<0.05)。结论相较于跨伤椎固定,经伤椎固定治疗胸腰段脊柱骨折的复位效果更佳,可更好地维持脊柱矫正度。Objective To compare the clinical effect of fixation across injured vertebra and via injured vertebra in the treatment of thoracolumbar spinal fractures. Methods A total of 70 thoracolumbar spinal fractures patients were randomly divided into observation group and control group, with 35 cases in each group. The observation group received fixation across injured vertebra for treatment, and the control group received fixation across injured vertebra. Treatment effect was compared in two groups. Results Both groups had smaller postoperative Cobb angle after operation than preoperation, and the observation group had obviously better postoperative Cobb angle as （2.0 ± 1.4）°, postoperative immediate correction as （13.1 ± 8.6）°, correction loss in postoperative 6 months as （1.2 ＋ 0.4）° than the control group [ （4.4 ± 1.4）, （8.4 ± 4.1）, （1.9 ± 1.0）° ] , and their difference had statistical significance （P〈0.05）. Both groups had greater postoperative leading-edge and trailedge injury vertebral relative height than preoperation, and the observation group had obviously greater leadingedge and trail-edge injury vertebral relative height and postoperative immediate correction than the control group, smaller correction loss in postoperative 6 months than the control group. Their difference had statistical significance （P〈0.05）. Conclusion Compared with fixation across injured vertebra, fixation via injured vertebra has reduction effect in treating thoracolumbar spinal fractures, and it can preferably sustain spinal corrective degrees.

关 键 词：胸腰段脊柱骨折 跨伤椎固定 经伤椎固定 

分 类 号：R687.3[医药卫生—骨科学]