摘要
目的探讨不同内固定方法对胸腰段脊柱爆裂骨折的治疗效果,提高临床治疗水平。方法选取自2006年3月～2009年5月收治的120例胸腰段脊柱爆裂骨折的患者,随机分为观察组(椎弓根钉系统内固定+椎板间植骨治疗)和对照组(单纯椎弓根钉系统内固定治疗)各60例,比较两组患者的治疗效果。结果两组患者治疗前后受伤椎体的前后缘高度及Cobb角均有所改善,但观察组较对照组改善明显(P<0.01),具有统计学意义。观察组良好率为60.0%(36/60),对照组良好率为38.3%(23/60),两组比较差异显著(P<0.05),具有统计学意义。观察组术后出现切口感染3例,愈合不良1例,对照组术后出现切口感染2例,两组患者均无断钉、螺钉松动等并发症。结论采用椎弓根钉系统内固定+椎板间植骨治疗胸腰段脊柱爆裂骨折效果理想,值得临床推广应用。
Objective To explore methods of internal fixation of thoracolumbar burst fracture of the therapeutic effect and improve the level of clinical treatment. Methods In our hospital from March 2006 - May 2009,120 patients underwent with thoracolumbar burst fractures were randomly divided into two groups （pedicle screw system fixation and interlaminar bone grafting） and the control group （treated with pedicle screw fixation） of the 60 cases, patient outcomes were compared. Results The patients before and after treatment the injured vertebral height and Cobb angle edge has improved, but the observation group has improved significantly than the control group （P〈 0.01）, with statistical significance. Observation group good rate was 55.0% （33/60）, good rate in control group was 38.3% （23/60）, the difference was Significant （P〈0.05）, with statistical significance. Postoperatively, wound infection occurred in 3 cases of observed group, 1 case of poor healing, 2 cases of of the control group had wound infection, two groups had no breakage, screw loosening complications. Conclusion The therapeutic effect of thoracolumbar burst fracture with the pedicle screw system fixation and interlaminar bone grafting was satisfactory, worthy of clinical application.
出处
《当代医学》
2012年第22期10-11,共2页
Contemporary Medicine
关键词
内固定
爆裂骨折
脊柱
环形减压
Internal fixation
Burst fracture
Spine
Circular decompression
