Sextant微创椎弓根螺钉内固定治疗老年骨质疏松性脊柱骨折的疗效分析  

Clinical effect of Sextant minimally invasive pedicle screw internal fixation for treatment of elderly osteoporotic spinal fracture

作　　者：李宏伟[1] 贺加明 

机构地区：[1]陕西省榆林市第二医院骨二科,陕西榆林719000

出　　处：《中国临床研究》2017年第6期764-766,共3页Chinese Journal of Clinical Research

摘　　要：目的对比Sextant微创椎弓根螺钉内固定术与传统开放内固定术对老年骨质疏松性脊柱骨折的疗效。方法选取2010年8月至2015年8月收治的80例老年骨质疏松性脊柱骨折患者,随机分为两组,对照组(40例)采用传统开放内固定治疗,观察组(40例)采用Sextant微创椎弓根螺钉内固定治疗,观察并记录两组手术情况、术前术后椎体前缘高度比、Cobb角、日常生活能力量表(ADL)评分及随访6个月期间并发症情况。结果观察组患者手术时间、住院时间均短于对照组,术中出血量、术后引流量均少于对照组(P均<0.05)。术前,两组椎体前缘高度比和Cobb角相比,无统计学差异(P均>0.05)。术后3个月、6个月,两组椎体前缘高度比均较术前明显提高,Cobb角均明显减小(P均<0.05)。但组间椎体前缘高度比、Cobb角比较则无统计学差异(P均>0.05)。术前两组ADL评分相比无统计学差异(P>0.05);术后3个月、6个月两组ADL评分均明显提高(P均<0.05),且观察组ADL评分高于对照组(P均<0.05)。术后随访6个月,两组并发症无统计学差异(P>0.05)。结论 Sextant微创椎弓根螺钉内固定对老年骨质疏松性脊柱骨折具有较好的治疗效果,手术创伤小,患者恢复快。Objective To compare the effect of Sextant minimally invasive pedicle screw internal fixation and traditional open internal fixation for the treatment of osteoporotie spinal fracture in elderly patients. Methods Eighty elderly patients with osteoporotic spinal fracture received and cured from August 2010 to August 2015 were selected. The patients were ran- domly divided into two groups （n = 40 each） ：control group and observation group. Traditional open internal fixation was a- dopted in control group, and Sextant minimally invasive pedicle screw internal fixation was adopted in observation group. Preoperative and postoperative anterior vertebral height ratio and Cobb angle, Activity of Daily Living Scale （ADL） score and complications during follow up period of 6 months were observed. Results The operation time and hospital stay in observa- tion group were significantly shorter than those in control group （ all P 〈 0.05 ）, and the intraoperative blood loss and post- operative drainage volume in observation group were significantly less than those in control group （ all P 〈 0.05 ）. There were no significant differences in anterior vertebral height ratio and Cobb angle before operation between two groups （all P 〉 0.05 ）. Compared with pre-operation, anterior vertebral height ratio increased, and Cobb angle decreased 3 months and 6 months after operation in two groups, while there were no significant differences in them between 3- and 6-month after op- eration （ all P 〉 0.05 ）. There was no significant difference in ADL scores before operation between two groups （ P 〉 0. 05 ） , but the ADL scores significantly increased at 3- and 6-month after operation in two groups （ all P 〈 0.05 ） , and the ADL score in observation group was significantly higher than that in control group （ all P 〈 0.05 ）. There was no significant difference in complications during follow up period of 6 months between two groups （ P 〉 0.05 ）. Conclusion Sextant min- imally invasive pedicle

关 键 词：微创椎弓根螺钉 骨质疏松 脊柱骨折 椎体前缘高度比 COBB角 日常生活能力 并发症 

分 类 号：R683.2[医药卫生—骨科学]