经伤椎椎弓根植骨置钉后路复位内固定术对胸腰椎骨折患者伤椎功能及不良事件的影响  

Effects of posterior reduction and internal fixation with bone graft and vertebral pedicle screw in injured vertebra on the injured vertebral function and adverse events in patients with thoracolumbar fractures

作　　者：刘耿耿 LIU Genggeng(Spinal Neurosurgery Department,Zhoukou Orthopaedic Hospital,Zhoukou 466000,China)

机构地区：[1]周口骨科医院神经脊柱外科,河南周口466000

出　　处：《临床医学研究与实践》2024年第25期66-69,共4页Clinical Research and Practice

摘　　要：目的探讨经伤椎椎弓根植骨置钉后路复位内固定术对胸腰椎骨折患者伤椎功能及不良事件的影响。方法选取2020年6月至2022年6月于我院进行内固定手术治疗的84例胸腰椎骨折患者为研究对象,依据手术方法不同将其分为研究组(42例,经伤椎椎弓根植骨置钉后路复位内固定术)和对照组(42例,跨伤椎后路复位内固定术)。比较两组的治疗效果、椎体解剖结构、伤椎功能恢复情况及不良事件发生情况。结果研究组的治疗优良率高于对照组(P<0.05)。术后1、3、6个月,两组的伤椎前缘高度比均升高,矢状面Cobb角均降低,且研究组优于对照组(P<0.05)。术后1、3、6个月,研究组的日本骨科协会(JOA)评分高于对照组,Oswestry功能障碍指数(ODI)评分低于对照组,差异具有统计学意义(P<0.05)。两组的不良事件总发生率比较,差异无统计学意义(P>0.05)。结论经伤椎椎弓根植骨置钉后路复位内固定术可改善胸腰椎骨折患者的椎体解剖结构及腰椎功能,疗效确切且安全性高,具有临床应用价值。Objective To explore the effects of posterior reduction and internal fixation with bone graft and vertebral pedicle screw in injured vertebra on the injured vertebral function and adverse events in patients with thoracolumbar fractures.Methods A total of 84 patients with thoracolumbar fractures who underwent internal fixation in our hospital from June 2020 to June 2022 were selected as the research objects.According to different surgical methods,the patients were divided into study group(42 cases,posterior reduction and internal fixation with bone graft and vertebral pedicle screw in injured vertebra)and control group(42 cases,posterior reduction and internal fixation across injured vertebra).The therapeutic effect,vertebral anatomical structure,recovery of injured vertebral function and incidence of adverse events were compared between the two groups.Results The excellent and good rate of treatment in the study group was higher than that in the control group(P<0.05).At 1,3 and 6 months after operation,the ratio of height of anterior edge of injured vertebra of the two groups increased,and the sagittal Cobb angle decreased,and those in the study group were better than the control group(P<0.05).At 1,3 and 6 months after operation,the Japanese Orthopaedic Association(JOA)score of the study group was higher than that of the control group,and the Oswestry Disability Index(ODI)score was lower than that of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse events between the two groups(P>0.05).Conclusion Posterior reduction and internal fixation with bone graft and vertebral pedicle screw in injured vertebra can improve the vertebral anatomical structure and lumbar function of patients with thoracolumbar fractures.It has definite curative effect and high safety,and has clinical application value.

关 键 词：经伤椎椎弓根植骨置钉后路复位内固定术 胸腰椎骨折 伤椎功能 

分 类 号：R687.3[医药卫生—骨科学]