钉钩内固定系统峡部植骨治疗青少年腰峡部裂的效果探讨  

Effects of pedicle screw-lamina hook plus isthmic bone grafting in the treatment of adolescent lumbar spondylosis

作　　者：陈念 杨鉴 练子荣 CHEN Nian;YANG Jian;LIAN Zirong(The Second Department of Orthopedics,Gaozhou Traditional Chinese Medicine Hospital,Guangdong,Gaozhou 525200,China)

机构地区：[1]广东省高州市中医院骨伤二科,广东高州525200

出　　处：《中国医药科学》2020年第16期210-212,234,共4页China Medicine And Pharmacy

基　　金：广东省茂名市科技计划立项项目(2019182)。

摘　　要：目的探讨青少年腰峡部裂钉钩内固定系统峡部植骨治疗的效果。方法回顾性选取2018年5月~2019年11月我院青少年腰峡部裂患者80例,依据治疗方法分为钉钩内固定系统峡部植骨治疗组(研究组,n=40)和跨节段内固定系统峡部植骨治疗组(对照组,n=40),统计分析两组患者的手术相关指标、VAS、JOA、ODI评分、术后并发症发生情况。结果研究组患者的手术时间显著短于对照组,差异有统计学意义(P<0.05),术中出血量显著少于对照组,差异有统计学意义(P<0.05),住院时间显著短于对照组,差异有统计学意义(P<0.05)。研究组患者手术后较手术前的VAS、ODI评分降低幅度、JOA评分升高幅度均显著高于对照组,差异有统计学意义(P<0.05)。在术后并发症发生率方面,研究组为7.5%(3/40),对照组为22.5%(9/40),前者显著低于后者,差异有统计学意义(P<0.05)。结论青少年腰峡部裂钉钩内固定系统峡部植骨治疗的效果较跨节段内固定系统峡部植骨治疗好,更能有效缩短患者的手术时间、住院时间,减少患者术中出血量、术后并发症的发生,缓解患者术后疼痛、下腰痛,改善患者腰背肌下肢功能,值得在临床推广。Objective To explore the effect of pedicle screw-lamina hook plus isthmic bone grafting in the treatment of adolescent lumbar spondylosis.Methods Eighty patients with lumbar spondylosis treated in our hospital from May 2018 to November 2019 were retrospectively selected.They were divided into the pedicle screw-lamina hook plus isthmic bone grafting group(study group,n=40)and cross segment pedicle screw fixation plus isthmic bone grafting group(control group,n=40)according to the treatment method.The surgical related indicators,visual analogue scale(VAS)score,Japanese Orthopedics Association(JOA)score,Oswestry disability index(ODI)score,and postoperative complications of the two groups were statistically analyzed.Results The operation time of the study group was significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative bleeding of the study group was significantly less than that of the control group,and the difference was statistically significant(P<0.05).The length of hospital stay of the study group was significantly shorter than that of the control group,the difference was statistically significant(P<0.05).The reduction of VAS score and ODI score,and the increase of JOA score in the study group after surgery were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence rate of postoperative complications in the study group was 7.5%(3/40),which was lower than 22.5%(9/40)in the control group,and the difference was statistically significant(P<0.05).Conclusion The pedicle screw-lamina hook plus isthmic bone grafting is better than cross segment pedicle screw fixation plus isthmic bone grafting in the treatment of adolescent lumbar spondylosis.It can shorten operation time and hospital stay,reduce the intraoperative bleeding and occurrence of postoperative complications.In addition,it can alleviate postoperative pain and lower back pain,and improve the lower limb function,which

关 键 词：青少年 腰峡部裂 钉钩内固定系统 峡部植骨 

分 类 号：R687.3[医药卫生—骨科学]