短节段椎弓根钉固定手术用于急性脊柱创伤的价值  

Value of Short-Level Pedicle Screw Fixation in Acute Spinal Trauma

作　　者：张鉴 吴同适[1] 吕晶晶 ZHANG Jian;WU Tong-shi;LV Jing-jing(Department of Orthopedics,Fuding Hospital,Fujian Province,Fujian Fuding 355200)

机构地区：[1]福建省福鼎市医院骨科,福建福鼎355200

出　　处：《中国医疗器械信息》2023年第15期109-111,共3页China Medical Device Information

摘　　要：目的:探究短节段6钉椎弓根钉固定手术治疗急性脊柱创伤的临床效果。方法:选取2021年1月~2022年10月本院收治的急性脊柱创伤患者共70例,以随机数字表法分为观察组与对照组,各35例。所有患者均行短节段椎弓根钉固定术,对照组给予短节段5/4钉(伤椎打1枚螺钉/伤椎不打螺钉),观察组给予短节段6钉(伤椎打2枚螺钉),比较治疗前后及两组患者组间的Cobb角、伤椎前缘高度、脊柱功能(日本骨科协会评估治疗分数)、疼痛程度(视觉模拟评分法)和术后并发症发生率。结果:①Cobb角:观察组治疗后小于治疗前和对照组,有统计学意义(P<0.05);②伤椎前缘高度:观察组治疗后大于治疗前和对照组,有统计学意义(P<0.05);③脊柱功能评分:两组治疗后患者的日本骨科协会评估治疗分数均大于治疗前,且观察组治疗后的评分大于对照组,有统计学意义(P<0.05);④疼痛严重程度:治疗后和治疗前比较患者的疼痛程度均有缓解,观察组的视觉模拟评分法评分较对照组小,有统计学意义(P<0.05);⑤并发症:两组的并发症发生率比较,无统计学意义(P>0.05)。结论:对急性脊柱创伤患者实施短节段6钉椎弓根钉固定手术治疗的效果显著,更有利于改善疾病症状,促进伤椎功能的恢复,且可以减轻患者的疼痛程度,降低并发症发生风险。Objective:To explore the clinical effect of short level 6 pedicle screw fixation in the treatment of acute spinal trauma.Methods:A total of 70 patients with acute spinal trauma admitted to our hospital from January 2021 to October 2022 were selected and randomly divided into an observation group and a control group,with 35 patients in each group.All patients underwent short segment pedicle screw fixation.The control group received short segment 5/4 screws(with 1 screw for the injured vertebra/no screw for the injured vertebra),while the observation group received short segment 6 screws(with 2 screws for the injured vertebra).The Cobb angle,anterior edge height of the injured vertebra,spinal function(evaluated by the Japanese Orthopedic Association treatment score),pain level(visual simulation scoring method),and postoperative complication rate were compared before and after treatment and between the two groups of patients.Results:①Cobb angle:After treatment,the observation group was smaller than before treatment and the control group,with statistical significance(P<0.05);②The height of the anterior edge of the injured vertebra:After treatment,the observation group was higher than before treatment and the control group,with statistical significance(P<0.05);③Spinal function score:The treatment scores evaluated by the Japanese Orthopedic Association for both groups of patients after treatment were higher than those before treatment,and the observation group's score after treatment was higher than that of the control group,with statistical significance(P<0.05);④Pain severity:After treatment and before treatment,the pain level of the patients was alleviated.The visual simulation score of the observation group was smaller than that of the control group,with statistical significance(P<0.05);⑤Complications:There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:The implementation of short segment 6-screw pedicle screw fixation surgery for acu

关 键 词：短节段椎弓根钉固定手术 急性脊柱创伤 临床疗效 

分 类 号：TH781[机械工程—仪器科学与技术]