短节段椎弓根钉固定术治疗老年脊柱骨折的临床疗效  

Clinical effect of short-segment pedicle screw fixation in the treatment of elderly spinal fractures

作　　者：郑洋 ZHENG Yang(Department of Orthopedics,Guidong People's Hospital,Guangxi Zhuang Autonomous Region,Wuzhou,Guangxi,543000,China)

机构地区：[1]广西壮族自治区桂东人民医院骨科,广西梧州543000

出　　处：《当代医学》2022年第25期16-19,共4页Contemporary Medicine

摘　　要：目的探讨短节段椎弓根钉固定术治疗老年脊柱骨折的临床疗效。方法选取2018年1月至2019年10月于本院就诊的78例老年脊柱骨折患者作为研究对象,按照奇偶数法分为对照组和实验组,每组39例。对照组行跨伤椎椎弓根固定术,实验组行经伤椎短节段椎弓根钉固定术,比较两组手术时间、术中出血量和手术前后伤椎前缘高度比、Cobb角、美国脊柱损伤协会(ASIA)脊髓损伤神经功能分级及并发症发生率。结果实验组手术时间长于对照组,术中出血量多于对照组,差异有统计学意义(P<0.05)。术前,两组伤椎前缘高度比、Cobb角比较差异无统计学意义;术后1年,实验组伤椎前缘高度比高于对照组,Cobb角小于对照组,差异有统计学意义(P<0.05)。术前,两组ASIA分级比较差异无统计学意义;术后1年,实验组ASIA分级优于对照组,差异有统计学意义(P<0.05)。实验组并发症发生率为2.56%,明显低于对照组的20.51%,差异有统计学意义(P<0.05)。结论短节段椎弓根钉固定术治疗老年脊柱骨折疗效显著,可促进患者脊柱恢复,改善神经功能,提高患者生命质量,值得临床推广应用。Objective To investigate the clinical effect of short-segment pedicle screw fixation in the treatment of elderly spinal fractures.Methods A total of 78 elderly patients with spinal fractures who visited our hospital from January 2018 to October 2019 were selected as the research subjects,and they were divided into the control group and the experimental group according to the odd-even method,with 39 cases in each group.The control group received pedicle fixation across the injured vertebra,while the experimental group received short-segment pedicle screw fixation of the injured vertebra,the operation time,intraoperative blood loss,height ratio of the anterior edge of the injured vertebra before and after operation,Cobb angle,American Spinal Injury Association(ASIA)spinal cord injury neurological classification and complication rate were compared between the two groups.Results The operation time of the experimental group was longer than that of the control group,and the intraoperative blood loss was more than that of the control group,and the difference was statistically significant(P<0.05).Before operation,there was no significant difference in the height ratio of the anterior edge of the injured vertebrae and the Cobb angle between the two groups;1 year after the operation,the height ratio of the anterior edge of the injured vertebrae in the experimental group was higher than that in the control group,and the Cobb angle was smaller than that in the control group,and the difference was statistically significant(P<0.05).Before operation,there was no significant difference in ASIA grade between the two groups;1 year after operation,the ASIA grade of the experimental group was better than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the experimental group was 2.56%,which was significantly lower than 20.51%in the control group,and the difference was statistically significant(P<0.05).Conclusion Short-segment pedicle screw fixation has significant e

关 键 词：脊柱骨折 老年 短节段椎弓根钉固定手术 

分 类 号：R687.3[医药卫生—骨科学]