椎间隙打压植骨治疗脊柱发育不良性后凸畸形的效果分析  

Clinical effect of intervertebral space compression and bone grafting for treatment of dysplastic kyphosis

作　　者：彭彬 刘旻 张本生 马跃 袁勇军 柴源 徐刚 伍小林 Peng Bin;Liu Min;Zhang Bensheng;Ma Yue;Yuan Yongjun;Chai Yuan;Xu Gang;Wu Xiaolin(Sichuan Friendship Hospital, Chengdu,Sichuan 610000,China)

机构地区：[1]四川友谊医院四川,四川成都610000

出　　处：《医药前沿》2019年第20期28-29,共2页Journal of Frontiers of Medicine

摘　　要：目的:探讨脊柱发育不良性后凸畸形患者应用椎间隙打压植骨治疗的临床效果与安全性.方法:纳入本院2016年1月—2017年12月间收治40例脊柱发育不良性后凸畸形患者,随机分成对照组与观察组各20例,对照组患者行椎间融合器联合矫形棒术治疗,观察组行椎间隙打压植骨联合矫形棒术治疗;对比两组患者治疗前后脊柱后凸Cobb角度、植骨融合情况、并发症发生情况以及ODI功能障碍指数情况.结果:两组患者术前脊柱后凸Cobb角、ODI指数对比未见显著差异(P>0.05);观察组术后1个月及术后12个月脊柱后凸Cobb角、ODI指数低于对照组,差异显著(P<0.05);观察组临床疗效显著优于对照组(P<0.05);观察组患者植骨融合时间相比对照组短,差异显著(P<0.05);两组并发症发生率未见显著差异(P>0.05).结论:发育不良性脊柱后凸畸形患者应用椎间隙打压植骨联合矫形棒术治疗能有效纠正脊柱后凸畸形并消除临床症状,促进患者的植骨融合,提高椎间隙稳定性,该术式的安全性高,值得临床应用.Objective To investigate the clinical effect and safety of the treatment of vertebral dysplasia in patients with vertebral dysplasia.Methods 40 patients with dysplastic kyphosis were enrolled in our hospital from January 2016 to December 2O17.They were randomly divided into the control group and the observation group. The control group were treated with interbody fusion cage and orthopedic rod surgery. The patients underwent intervertebral space compression and bone grafting combined with orthopedic rod surgery The Cobb angle of kyphosis, bone graft fusion, complications and ODI dysfunction index were compared before and after treatment Results There was no significant difference in preoperative kyphosis Cobb angle and ODI index between the two groups (P > 0.05). The preoperative kyphosis Cobb angle and ODI index of the observation group were compared with the control group at 1 month and 12 months after operation. The clinical effect was significantly lower in the observation group than in the control group (P < 0.05). The fusion time of the bone grafting in the observation group was faster than that in the control group (P < 0.05). See significant differences (P > 0.05). Conclusion Patients with dysplastic kyphosis deformity treated with intervertebral space compression and bone grafting combined with orthopedics can effectively correct the kyphosis and eliminate clinical symptoms, fully promote bone graft fusion and improve the stability of intervertebral space. The safety of the formula is high and it is worthy of clinical promotion.

关 键 词：椎间隙打压植骨 脊柱发育不良性后凸畸形 临床效果 安全性 

分 类 号：R682[医药卫生—骨科学]