后路经椎间隙截骨矫形治疗胸腰椎陈旧性骨折合并后凸畸形的临床疗效  

Clinical curative effect of posterior trans intervertebral bone cutting orthopedic in the treatment of thoracic and lumbar vertebrae old fracture combined with posterior convex deformity

作　　者：彭雄[1] Peng Xiong(Hanchuan City People's Hospital of Hubei Province 431600)

机构地区：[1]湖北省汉川市人民医院,431600

出　　处：《中国社区医师》2016年第23期44-45,共2页Chinese Community Doctors

摘　　要：目的:研究探讨后路经椎间隙截骨矫形治疗胸腰椎陈旧性骨折并后凸畸形的临床疗效。方法:收治胸腰椎陈旧性骨折并后凸畸形患者42例,对患者采用视觉模拟评分法(VAS)和日本骨科协会评分(JOA)对患者的临床症状改善情况进行评分,对Cobb角术前术后的改善情况进行评价。结果:对患者治疗3年后进行随访及复查,观察组VAS疼痛评分、腰椎JOA评分及Cobb角的改善情况术后明显优于术前(P<0.05);术后未出现内固定松动或断裂、假关节形成、矫形丢失等并发症。结论:后路经椎间隙截骨矫形对胸腰椎陈旧性骨折合并后凸畸形的患者治疗效果显著,并发症少。Objective:To study and explore the clinical curative effect of posterior trans intervertebral bone cutting orthopedic in the treatment of thoracic and lumbar vertebrae old fracture combined with posterior convex deformity.Methods:42 patients with thoracic and lumbar vertebrae old fracture combined with posterior convex deformity were selected.The clinical symptoms improvement situation of patients and the improvement of Cobb angle before and after operation were evaluated by the visual analogue scale(VAS) and the Japanese orthopaedic association scores(JOA).Results:After 3 years of treatment,the patients were given follow-up and review,the improvement situations of the VAS pain score,lumbar JOA score and Cobb angle in the observation group after operation were significantly better than those before operation(P<0.05).The internal fixation loosening or fracture,false joint formation, orthopedic loss and other complications were not occurred.Conclusion:The posterior trans intervertebral bone cutting orthopedic in the patients with thoracic and lumbar vertebrae old fracture combined with posterior convex deformity has a significant treatment effect,and less complications.

关 键 词：后路经椎间隙截骨矫形 胸腰椎陈旧性骨折 后凸畸形 

分 类 号：R687.3[医药卫生—骨科学]