经椎弓根内固定与椎体成形治疗胸腰椎爆裂性骨折的脊柱功能障碍改善效果及对影像学指标的影响  

Effect of Transpedicle Internal Fixation and Vertebroplasty on the Im⁃provement of Spinal Dysfunction in Thoracolumbar Burst Fracture and Its Influence on Imaging Indexes

作　　者：刘铁岭 任雨春 LIU Tieling;REN Yuchun(Department of Orthopaedics,Tengzhou Hospital of Traditional Chinese Medicine(Worker's Hospital),Tengzhou,Shandong Province,277500 China)

机构地区：[1]滕州市中医医院(工人医院)骨外科,山东滕州277500

出　　处：《中外医疗》2024年第14期34-38,共5页China & Foreign Medical Treatment

摘　　要：目的 纳入胸腰椎爆裂性骨折患者,分析经椎弓根内固定+椎体成形治疗的效果。方法 方便选取2022年1月—2023年8月滕州市中医医院收治的84例胸腰椎爆裂性骨折患者为研究对象,遵循1:1随机抽签法分为两组,各42例。对照组采用经椎弓根内固定治疗,观察组则配合椎体成形治疗,对比两组治疗效果。结果 观察组手术时间长于对照组,住院时间短于对照组,差异有统计学意义(P均<0.05)。术后,观察组日本骨科协会腰痛评分表评分(14.45±2.62)分高于对照组的(11.52±2.11)分,差异有统计学意义(t=5.645,P<0.05)。观察组Oswestry功能障碍指数为(17.45±4.23)分,视觉模拟评分为(1.53±0.44)分,椎体前缘及后缘压缩率为(6.47±2.26)%、(6.44±2.26)%,Cobb角为(3.44±1.21)°,低于对照组的(23.56±4.66)分、(2.44±0.42)分、(10.52±2.32)%、(9.65±2.55)%、(5.64±1.25)°,差异有统计学意义(t=6.292、9.695、8.104、6.105、8.195,P均<0.05)。两组术中出血量及并发症发生率比较,差异无统计学意义(P均>0.05)。结论 经椎弓根内固定与椎体成形治疗可有效减轻患者疼痛,恢复其腰脊椎功能,并维持复位伤椎高度,并发症较少,利于患者尽早出院。Objective Patients with thoracolumbar burst fractures were included to analyze the effect of transpedicle fixation plus vertebroplasty.Methods A total of 84 patients with thoracoland lumbar burst fracture admitted to Teng-zhou Hospital of Traditional Chinese Medicine from January 2022 to August 2023 were conveniently selected as the study objects and divided into two groups with 42 cases each according to 1:1 random drawing method.The control group was treated with transpedicular internal fixation,and the observation group was treated with vertebroplasty.The different treatment effects between the two groups were compared.Results The operation time of the observation group was longer than that of the control group,and the hospitalization time was shorter than that of the control group,and the differences were statistically significant(both P<0.05).The Japanese Orthopaedic Association Score of the observa-tion group was(14.45±2.62)points,which was higher than(11.52±2.11)points of the control group,and the difference was statistically significant(t=5.645,P<0.05).In the observation group,the Oswestry disability index was(17.45±4.23)points,the Visual Analogue Scale was(1.53±0.44)points,the compression rates of the anterior and posterior edges of the vertebral body were(6.47±2.26)%,(6.44±2.26)%,and the Cobb Angle was(3.44±1.21)°,lower than those of the control group(23.56±4.66)points,(2.44±0.42)points,(10.52±2.32)%,(9.65±2.55)%,(5.64±1.25)°,and the differences were statistically significant(t=6.292,9.695,8.104,6.105,8.195,all P<0.05).There were no signifi-cant differences in intraoperative blood loss and incidence of complications between the two groups(both P>0.05).Conclusion Transpedicular internal fixation and vertebroplasty can effectively reduce the pain of patients,restore the function of the lumbar spine,and maintain the height of the injured vertebra,with fewer complications,which is con-ducive to the early discharge of patients.

关 键 词：经椎弓根内固定 椎体成形 胸腰椎爆裂性骨折 功能障碍 影像学指标 

分 类 号：R816.8[医药卫生—放射医学]