微创椎弓根钉内固定在胸腰椎创伤性骨折治疗中的应用效果分析  

Analysis of the application effect of minimally invasive pedicle screw internal fixation in the treatment of thoracolumbar traumatic fractures

作　　者：刘攀 LIU Pan(Department of Emergency,Yanggu People's Hospital,Liaocheng,Shandong,252300,China)

机构地区：[1]阳谷县人民医院急症外科,山东聊城252300

出　　处：《当代医学》2022年第10期40-43,共4页Contemporary Medicine

摘　　要：目的分析微创椎弓根钉内固定在胸腰椎创伤性骨折治疗中的应用效果。方法选取本院2018年12月至2020年12月收治的98例胸腰椎创伤性骨折患者作为研究对象,根据治疗方法不同分为对照组与观察组,每组49例。对照组采用传统手术治疗,观察组采用微创椎弓根钉内固定术治疗。比较两组手术指标、后凸Cobb角、椎体前缘高度、视觉模拟自评量表(VAS)评分、Oswestry功能障碍指数(ODI)及并发症发生率。结果观察组手术时间、切口长度、卧床时间、住院时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。观察组术后后凸Cobb角小于对照组,椎体前缘高度高于对照组,差异有统计学意义(P<0.05)。观察组术后VAS评分、ODI指数均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(2.04%)低于对照组(16.33%),差异有统计学意义(P<0.05)。结论微创椎弓根钉内固定治疗胸腰椎创伤性骨折效果显著,可有效改善患者腰背功能,缓解疼痛感,降低并发症发生率,恢复正常伤椎解剖结构,值得临床推广应用。Objective To analyze the application effect of minimally invasive pedicle screw internal fixation in the treatment of thoracolumbar traumatic fracture.Methods 98 patients with thoracolumbar traumatic fractures admitted to our hospital from December 2018 to December 2020 were selected as the research subjects.They were divided into control group and observation group according to different treatment methods,with 49 cases in each group.The control group was treated with traditional surgery,and the observation group was treated with minimally invasive pedicle screw internal fixation.The surgical indicators,kyphotic Cobb angle,height of the anterior edge of the vertebral body,visual analogue self-rating scale(VAS)score,Oswestry dysfunction index(ODI)and complication rate were compared between the two group.Results The operation time,in-cision length,bed time,and hospital stay of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,the difference was statistically significant(P<0.05).The postoperative kyphotic Cobb angle of the observation group was less than in the control group,the height of the anterior edge of the vertebral body was higher than that of the control group,and the difference was statistically significant(P<0.05).The postoperative VAS score and ODI index of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group(2.04%)was lower than the control group(16.33%),and the difference was statistically significant(P<0.05).Conclusion Minimally invasive pedicle screw internal fixa-tion is effective in treating thoracolumbar traumatic fractures,it can effectively improve the patients'back function,relieve pain,reduce the incidence of complications,and restore normal injured vertebra anatomy,it is worthy of clinical application.

关 键 词：微创椎弓根钉内固定 胸腰椎创伤性骨折 伤椎功能 并发症 

分 类 号：R687.3[医药卫生—骨科学]