经伤椎与跨伤椎短节段内固定治疗胸腰椎骨折疗效比较  

Hort-segment internal fixation in the treatment of thoracolumbar burst fractures

作　　者：马启裕 段筱勇 郭友忠 MA Qi-yu;DUAN Xiao-yong;GUO You-zhong(Department of Orthopaedics,Zhenba County People's Hospital,Hanzhong 723600,Shaanxi,CHINA)

机构地区：[1]镇巴县人民医院骨科

出　　处：《海南医学》2020年第1期48-50,共3页Hainan Medical Journal

摘　　要：目的比较经伤椎与跨伤椎短节段内固定治疗胸腰椎骨折的临床效果。方法回顾性分析2017年1月至2019年12月期间镇巴县人民医院骨科收治的126例腰椎骨折患者的临床资料。其中接受跨伤椎短节段固定治疗者62例纳入跨伤椎组,接受经伤椎短节段固定治疗者64例纳入经伤椎组,比较两组患者的手术时间、出血量及术后住院的时间等围手术期指标,术前及术后6个月评估伤椎椎体前缘高度比及Cobb角,记录两组患者的并发症发生情况。结果两组患者的手术时间、术中出血量及术后住院时间比较差异均无统计学意义(P>0.05);术后6个月,经伤椎组患者伤椎椎体前缘高度比为(91.4±7.4)%,Cobb角为(9.2±1.9)°,明显优于跨伤椎组的(86.3±6.9)%和(11.7±2.2)°,差异均有统计学意义(P<0.05);经伤椎组患者术后并发症发生率为3.13%,明显低于跨伤椎组的9.68%,差异有统计学意义(P<0.05)。结论经伤椎与跨伤椎短节段内固定治疗胸腰椎骨折比较,前者可以有效防止术后后凸矫正的丢失,且更有利于伤椎前柱高度的维持,术后并发症发生率低。Objective To compare the clinical effect of intervertebral and transpedicular vertebral short-segment internal fixation in the treatment of thoracolumbar burst fractures.Methods The clinical data of 126 patients with lumbar vertebral fracture,who admitted to Department of Orthopaedics,Zhenba County People's Hospital from January 2017 to December 2019 were retrospectively analyzed.Among them,62 cases received intervertebral short-segment fixation were enrolled into the intervertebral group,and 64 cases received with transpedicular vertebral short-segment fixation were included into the vertebral group.The perioperative indexes of the two groups were compared,including operation time,bleeding volume and hospitalization time after operation.The anterior height ratio and Cobb angle of the injured vertebral body were evaluated before and 6 months after operation.Complications rate in both groups were recorded.Results There was of no significant difference in operation time,intraoperative bleeding volume and hospitalization time between the two groups(P>0.05).Six months after operation,the anterior height ratio and Cobb angle of the injured vertebral body in the intervertebral group were(91.4±7.4)%and(9.2±1.9)°,which were significantly better than(86.3±6.9)%and(11.7±2.2)°in the transpedicular vertebral group(P<0.05);the incidence of postoperative complications in the intervertebral group was 3.13%,which was significantly lower than 9.68%in the transpedicular vertebral group(P<0.05).Conclusion Compared with transvertebral short-segment internal fixation for thoracolumbar burst fractures,intervertebral short-segment internal fixation can effectively prevent the loss of kyphosis correction after operation,and is more conducive to maintaining the anterior column height of injured vertebrae,with a low incidence of complications.

关 键 词：胸腰椎骨折 经伤椎 跨伤椎 短节段内固定术 并发症 疗效 

分 类 号：R683.2[医药卫生—骨科学]