Sextant微创经皮椎弓根螺钉内固定术治疗胸腰椎多发脊柱骨折的临床效果  

Clinical Effect of Sextant Minimally Invasive Percutaneous Pedicle Screws Osteosynthesis in the Treatment of Multiple Thoracolumbar Spinal Fractures

作　　者：孙赫 张旭 王茹那 SUN He;ZHANG Xu;WANG Runa(Spine Surgery Department,Juye County People's Hospital,Juye 274900,China;不详)

机构地区：[1]巨野县人民医院脊柱外科,山东巨野274900

出　　处：《中国医学创新》2024年第3期35-39,共5页Medical Innovation of China

摘　　要：目的:探讨Sextant微创经皮椎弓根螺钉内固定术(MIPPSO)治疗胸腰椎多发脊柱骨折的临床效果。方法:选取2017年8月—2022年1月巨野县人民医院收治的胸腰椎多发脊柱骨折患者共计60例,以随机数字表法分成研究组(30例)与对照组(30例)。对照组给予传统后路开放式内固定术治疗,研究组给予Sextant MIPPSO治疗,比较两组围手术期指标、椎体形态、脊柱功能及并发症。结果:与对照组相比,研究组术中出血量、术后引流量均更少(P<0.05),切口长度、住院时间均更短(P<0.05)。术后,两组椎体前缘高度比、椎体矢状面指数均较术前提高(P<0.05),脊柱后凸角度(Cobb’s角)均较术前降低(P<0.05),研究组椎体前缘高度比、椎体矢状面指数较对照组均更高(P<0.05),Cobb’s角更低(P<0.05)。术后,两组Oswestry功能障碍指数(ODI)较术前均降低(P<0.05),研究组较对照组更低(P<0.05)。研究组并发症发生率(3.33%)与对照组(26.67%)相比更低(P<0.05)。结论:给予胸腰椎多发脊柱骨折患者Sextant MIPPSO治疗,能够改善围手术期指标,促进患者脊柱形态和功能恢复,降低并发症发生率。Objective:To explore the clinical effect of Sextant minimally invasive percutaneous pedicle screws osteosynthesis(MIPPSO) in the treatment of multiple thoracolumbar spinal fractures.Method:A total of 60 patients with multiple thoracolumbar spinal fractures who were admitted in Juye County People's Hospital from August 2017 to January 2022 were selected and divided into the study group(30 cases) and the control group(30 cases) by random number table method.The control group was treated with traditional posterior open internal fixation,and the study group was treated with Sextant MIPPSO.The perioperative indicators,vertebral body morphology,spinal function and complications in both groups were compared.Result:In comparision of the control group,intraoperative bleeding volume and postoperative drainage volume in the study group were less(P<0.05),and the incision length and hospital stay were shorter(P<0.05).After operation,the height ratio of the anterior edge of the vertebral body and the index of the sagittal plane of the vertebral body in both groups were increased compared to those before operation(P<0.05),the Cobb's angle were decreased(P<0.05),and in comparision of the control group,the height ratio of the anterior edge of the vertebral body and the index of the sagittal plane of the vertebral body in the study group were higher(P<0.05),and the Cobb's angle was lower(P<0.05).After operation,the Oswestry disability index(ODI) in both groups were increased compared to those before operation(P<0.05),that in the study group was lower than that in the control group(P<0.05).The incidence of complications in the study group(3.33%)was lower than that in the control group(26.67%)(P<0.05).Conclusion:Sextant MIPPSO can improve perioperative indicators,promote the recovery of spinal morphology and function,and reduce the incidence of complications in patients with multiple thoracolumbar spinal fractures.

关 键 词：胸腰椎多发脊柱骨折 Sextant微创经皮椎弓根螺钉内固定术 脊柱功能 并发症 

分 类 号：R687.3[医药卫生—骨科学]