摘要
目的比较跨伤椎固定和经伤椎固定治疗胸腰段脊柱骨折的临床疗效。方法选择2013年12月-2014年12月在青岛市第八人民医院接受治疗的胸腰段脊柱骨折患者80例，随机分为观察组和对照组各40例。对照组采用跨伤椎固定方法进行治疗，观察组采用经伤椎固定方法进行治疗，比较两组患者的手术情况、骨折修复情况及随访情况。结果两组治疗后视觉模拟评分法评分及Et本骨科协会评估治疗评分差异均无统计学意义（P〉0．05）；而Cobb角、Cobb角丢失、椎体压缩率和椎体高度丢失差异均有统计学意义（P〈0．05）。结论在胸腰段脊柱骨折治疗中，经伤椎固定具有更为显著的治疗优势，应作为首选手术方法。
Objective To compare the clinical effects of the treatment of across injured vertebra fixation and via injured vertebra fixation on thoracolumbar spine fracture. Methods Eighty cases of patients with thoracolumbar spine fracture in Qingdao Eighth People＇s Hospital from December, 2013 to December, 2014 were selected and divided into the observation group and the control group at random with 40 cases in each group. The control group received the treatment of across injured vertebra fixation, while the observation group were given via injured vertebra fixation. The situations of operations, the fracture repair and follow-up of two groups were compared. Results There was no statistically significant difference in the visual analogue scale scores and Japanese Orthopaedic Association Scores of two groups after treatment （P 〉 0.05）. The differences of Cobb angle, Cobb angle loss, vertebral compression rate and vertebral height loss between two groups were statistically significant （P 〈 0.05）. Conelusion Via injured vertebra fixation has a more significant therapeutic advantage in the treatment of thoracolumbar spine fracture than across injured vertebra fixation, and is the preferred surgical procedure.
作者
张亮
杨君德
ZHANG Liang YANG Junde(Department of Orthopedics, Qingdao Eighth People＇s Hospital, Qingdao 266000, Chin)
出处
《中国实用乡村医生杂志》
2017年第4期64-66,共3页
Chinese Practical Journal of Rural Doctor
关键词
脊柱骨折
胸腰段
跨伤椎固定
经伤椎固定
Spine Fracture
Thoracolumbar
Across Injured Vertebra Fixation
Via Injured Vertebra Fixation
