椎弓根钉内固定治疗重度骨质疏松性脊柱压缩骨折的临床效果  

Clinical Effect of Pedicle Screw Fixation in the Treatment of Severe Osteoporotic Spinal Compression Fractures

作　　者：钱腾飞 邱学红 李加俊 敖立 马孟南 袁磊 李永富 QIAN Tengfei;QIU Xuehong;LI Jiajun;AO Li;MA Mengnan;YUAN Lei;LI Yongfu(Orthopaedic Treatment Center,the People′s Hospital of Mengzi,Mengzi Yunnan 661199,China)

机构地区：[1]蒙自市人民医院骨科诊疗中心,云南蒙自661199

出　　处：《中国卫生标准管理》2024年第17期101-104,共4页China Health Standard Management

摘　　要：目的探讨在重度骨质疏松症合并压缩性脊椎骨折患者中应用椎弓根钉结合手术方法的临床效果。方法选择2021年4月—2023年4月蒙自市人民医院骨科诊治中心合并重度骨质疏松症合并脊柱挤压骨折患者60例,进行回顾性总结分析。根据治疗方法分为观察组与对照组,各30例。对照组采用单纯椎体成形术,观察组采用椎弓根钉内固定联合椎体成形术。比较2组椎体结构指标。结果治疗后2 d,2组椎体高度恢复率、椎体高度压缩率升高,且观察组椎体高度恢复率、椎体高度压缩率[(62.57±2.46)%、(62.56±2.42)%]均高于对照组[(48.92±2.54)%、(46.85±2.53)%](P<0.05)。2组椎体后角降低,且观察组[(8.23±1.34)°]低于对照组[(11.26±1.43)°](P<0.05)。治疗后3个月,2组椎体高度恢复率、椎体高度压缩率均升高,且观察组椎体高度恢复率[(61.63±2.52)%]、椎体高度压缩率[(61.42±2.46)%°]高于对照组[(46.96±2.2)%、(44.07±2.29)%](P<0.05)。2组椎体后角降低,且观察组[(8.74±1.28)°]低于对照组[(12.95±1.36)°](P<0.05)。与治疗后2d比较,2组椎体高度恢复率、椎体高度压缩率降低,且观察组高于对照组,2组椎体后角升高,且观察组低于对照组(P<0.05)。观察组并发症发生率为6.67%,低于对照组的30.00%(P=0.045)。结论重度骨质疏松症合并压缩性脊椎骨折患者中采取椎弓根钉内固定联合椎体成形术效果确切,可提高治疗效果,预防并发症发生。Objective To investigate the clinical effect of pedicle nailing and surgical method in patients with severe osteoporosis combined with compressive spinal fractures.Methods A retrospective summary analysis was conducted on 60 patients with severe osteoporosis and spinal compression fractures at orthopaedic treatment center,the People′s Hospital of Mengzi from April 2021 to April 2023.According to the treatment method,the patients were divided into an observation group and a control group,with 30 cases in each group.The control group received simple vertebral body shaping surgery,while the observation group received pedicle screw fixation combined with vertebral body shaping surgery.Two groups of vertebral structure indicators were compared.Results Two days after treatment,the vertebral height recovery rate and vertebral height compression rate increased in both groups,and the observation group had higher vertebral height recovery rate and vertebral height compression rate[(62.57±2.46)%,(62.56±2.42)%]than the control group[(48.92±2.54)%,(46.85±2.53)%](P<0.05).The posterior angles of two groups of vertebral bodies decreased,and the observation group had a lower angle of(8.23±1.34)°compared to the control group(11.26±1.43)°(P<0.05).Three months after treatment,the vertebral height recovery rate and vertebral height compression rate increased in the two groups,and the observation group[(61.63±2.52)%],the vertebral height compression rate[(61.42±2.46)%]was higher than the control group[(46.96±2.2)%,(44.07±2.29)%](P<0.05),and the posterior angle decreased in the observation group[(8.74±1.28)°]Lower than that in the control group[(12.95±1.36)°](P<0.05).The incidence of complications in the observation group was 6.67%,which was lower than 30.00%of the control group(P=0.045).Conclusion In patients with severe osteoporosis and compression spinal fractures,it can improve the treatment effect and prevent complications.

关 键 词：椎弓根钉内固定 椎体成形术 重度骨质疏松性 脊柱 压缩骨折 临床效果 

分 类 号：R683[医药卫生—骨科学]