后路减压植骨治疗脊柱骨折的临床效果及对患者脊髓神经功能的影响  

Clinical Effect of Posterior Decompression and Bone Grafting in the Treatment of Spinal Fracture and its Influence on Spinal Cord Nerve Function

作　　者：姜大伟 JIANG Dawei(Department of orthopedics,the affiliated hospital of Shandong medical college,Linyi geriatrics hospital,Linyi,Shandong province 276004)

机构地区：[1]山东医专附属医院-临沂市老年病医院骨一科,山东临沂276004

出　　处：《中国伤残医学》2023年第10期1-5,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：要目的:探讨脊柱骨折患者应用后路减压植骨治疗的效果及对其脊髓神经功能的影响。方法:选取我院2021年1月-2022年1月收治的92例脊柱骨折患者为研究对象,按随机数字表法分2组,每组各46例。对照组采用单一椎弓根螺钉内固定术治疗,观察组在此种手术治疗基础上加用后路减压植骨治疗,比较2组患者的治疗效果。结果:观察组住院时间、手术时间和伤口愈合时间短于对照组,术中出血量少于对照组(P<0.05);2组治疗后的脊髓神经功能评分较治疗前均升高,且与对照组比,观察组升高更明显(P<0.05);2组治疗后的Oswestry功能障碍指数(ODI)和疼痛视觉模拟量表(VAS)评分较干预前均降低,且与对照组比,观察组降低更明显(P<0.05);2组治疗后的伤椎高度和Cobb角较之治疗前均升高,且与对照组比,观察组升高更明显(P<0.05);观察组并发症发生率为2.17%(1/46),低于对照组的17.39%(8/46)(P<0.05)。结论:脊柱骨折患者应用后路减压植骨治疗,效果显著。Objective:To investigate the effect of posterior decompression and bone grafting on spinal fracture patients and its influ-ence on spinal cord nerve function.Methods:92 patients with spinal fracture admitted in our hospital from January 2021 to January 2022 were selected as the subjects,and were divided into two groups according to the random number table,with 46 patients in each group.The control group was treated with pedicle screw internal fixation,and the observation group was treated with posterior decompression and bone grafing.The therapeutic effects of the two groups were compared.Results:The hospitalization time,operation time and wound healing time of the observation group were shorter than control group,and the intraoperative bleeding volume was less than control group(P<0.05).Compared with the control group,the spinal cord nerve function score of the two groups increased significantly after treat-ment(P<0.05).The Oswestry dysfunction index(ODI)and visual analogue scale(VAS)scores of the two groups after treatment were lower than those before the intervention,and the decrease in the observation group was more significant than control group(P<0.05).The height of injured vertebrae and Cobb angle in the two groups after treatment were higher than that before treatment,and the elevation in the observation group was more significant than control group(P<0.05).The complication rate of the observation group was 2.17%(1/46),which was lower than control group 17.39%(8/46)(P<0.05).Conclusion:The effect of posterior decompression and bone grafting in the treatment of spinal fracture is remarkable.

关 键 词：脊柱骨折 脊髓神经功能 椎弓根螺钉内固定术 后路减压植骨 

分 类 号：R683.2[医药卫生—骨科学]