后路短节段非融合内固定治疗胸腰椎骨折的疗效观察  

Clinical effect of posterior short-segment non-fusion internal fixation in the treatment of thoracolumbar fracture

作　　者：刘富强[1] 郝佩佩[2] 何荣 李金永[1] 李雄[1] 陈朗新 熊庆广 陈关林[1] LIU Fu-qiang;HAO Pei-pei;HE Rong;LI Jin-yong;LI Xiong;CHEN Lang-xin;XIONG Qing-guang;CHEN Guan-lin(Department of Orthopedics, Maoming People's Hospital,Maoming 525000, China;Department of Hematology and Rheumatology, Maoming People's Hospital,Maoming 525000, China)

机构地区：[1]广东省茂名市人民医院骨外一科,广东茂名525000 [2]广东省茂名市人民医院血液风湿内科,广东茂名525000

出　　处：《广东医科大学学报》2019年第4期434-436,共3页Journal of Guangdong Medical University

基　　金：广东省茂名市科技计划项目(No.20140331)

摘　　要：目的观察后路短节段非融合内固定治疗胸腰椎骨折的疗效。方法28例无脊髓神经损伤的胸腰椎骨折患者行后路短节段非融合内固定手术治疗,对比患者手术前后及拆除内固定后的疼痛视觉模拟量表(VAS)评分、伤椎后凸畸形角(Cobb’s角)、椎体前缘高度丢失率。结果28例全部获得11~24个月(平均16.2个月)的随访。术后3d、3个月及拆除内固定后的VAS评分、Cobb’s角、椎体前缘高度丢失率与术前比较,差异均有统计学意义(P<0.01)。结论短节段非融合椎弓根螺钉内固定技术治疗胸腰椎骨折(特别是年轻无神经损伤的患者)有效。Objective To investigate the clinical effect of posterior short-segment non-fusion internal fixation in the treatment of thoracolumbar fracture. Methods Twenty-eight patients with thoracolumbar fracture but without spinal nerve injury underwent posterior short-segment non-fusion internal fixation. The VAS score, Cobb's angle and the height loss rate of anterior vertebral border before and after the operation and after the removal of internal fixation were compared. Results All 28 patients were followed up for 11 to 24 months (an average of 16.2 months). There were statistical differences in the VAS score, Cobb's angle and the height loss rate of anterior vertebral border at 3 d and 3 months after the operation and after the removal of internal fixation compared with those before the operation (P<0.01). Conclusion Short-segment non-fusion pedicle screw fixation is an effective method for the treatment of thoracolumbar fracture, especially in young patients without nerve damage.

关 键 词：短节段 非融合 胸腰椎骨折 

分 类 号：R684.3[医药卫生—骨科学]