Sextant微创经皮椎弓根螺钉内固定术联合椎体形成术对脊柱骨折合并骨质疏松应用效果  

The Application Effect of Sextant Minimally Invasive Percutaneous Pedicle Screw Fixation Combined with Vertebral Body Formation Surgery on Spinal Fractures Combined with Osteoporosis

作　　者：卫永鲲 欧阳振 杨立峰 徐琳 尹伟 黄新周 WEI Yong-kun;OU Yang-zhen;YANG Li-feng;XU Lin;YIN Wei;HUANG Xin-zhou(Department ofOrthopedics,3201HospitalAffiliated toXi'an JiaotongUniversitySchool ofMedicine,Hanzhong,Shaanxi,723000,China)

机构地区：[1]西安交通大学医学部附属三二〇一医院骨科,陕西汉中723000

出　　处：《现代生物医学进展》2024年第22期4355-4357,4388,共4页Progress in Modern Biomedicine

基　　金：陕西省科技厅社发项目(S2021-sf244)。

摘　　要：目的:探讨Sextant微创经皮椎弓根螺钉内固定术联合椎体形成术的应用效果。方法:选取2020.1~2023.1收治的60例脊柱骨折合并骨质疏松患者,分为观察组与对照组,各30例。对照组实施PVP治疗,观察组实施PLIF联合PVP治疗,对比两组相关指标。结果:观察组首次下床时间及住院时间、术后即刻及术后3个月椎体后凸角、椎体高度压缩率低于对照组,手术时间、椎体后凸角矫正率、椎体高度恢复率高、SFI、JOA评分高于对照组(P<0.05);观察组术后并发症发生率及再骨折发生率低于对照组(P<0.05)。结论:Sextant微创PLIF联合PVP治疗脊柱骨折合并骨质疏松疗效显著,额外创伤小,因固定效果较好,可促进术后恢复,改善远期腰椎功能,且可降低术后并发症及再骨折发生率。Objective:To explore the application effect of Sextant minimally invasive percutaneous pedicle screw fixation combined with vertebral body formation surgery on spinal fractures with osteoporosis.Methods:60 patients with spinal fracture and osteoporosis admitted from 2020.1 to 2023.1 were selected and divided into observation group and control group,with 30 patients each.The control group received PVP,and the observation group performed PLIF combined with PVP,comparing the two groups.Results:The time of first implantation,the compression rate of vertebral height,and the correction rate,the vertebral height,SFI and JOA score were higher than the control group(P<0.05);the postoperative complication rate and refracture rate in the observation group were lower than the control group(P<0.05).Conclusion:Sextant Minimally invasive PLIF combined with PVP for spinal fracture combined with osteoporosis,with less additional trauma.Due to the good fixation effect,it can promote postoperative recovery,improve long-term lumbar function,and reduce the incidence of postoperative complications and refracture.

关 键 词：微创经皮椎弓根螺钉内固定术 椎体形成术 脊柱骨折 骨质疏松 

分 类 号：R683.2[医药卫生—骨科学]