摘要
目的对比分析经皮椎体后凸成形术(PKP)与切开复位内固定治疗多节段创伤性脊柱骨折的临床疗效。方法选取2017年11月至2020年11月铁岭市中心医院收治的72例多节段创伤性脊柱骨折患者作为研究对象,按照随机数表法将其随机分为PKP组(36例)与切开复位组(36例),PKP组患者采用PKP治疗,切开复位组患者采用传统切开复位内固定治疗,对比观察两组患者椎体前缘高度、Cobb角、Oswestry功能障碍指数(ODI)、Barthel指数与并发症发生情况。结果术后1、6个月,PKP组患者椎体前缘高度均明显高于切开复位组(t=2.120、3.579,P=0.038、P<0.001),Cobb角均明显小于切开复位组(t=6.772、9.937,P均<0.001),ODI评分均明显低于切开复位组(t=8.348、9.883,P均<0.001),Barthel指数评分均明显高于切开复位组(t=17.958、29.613,P均<0.001)。PKP组患者术后并发症发生率为8.3%,与切开复位组患者的术后并发症发生率25.0%无明显差异(χ^(2)=3.600,P=0.058)。结论PKP治疗多节段创伤性脊柱骨折,可明显改善伤椎椎体前缘高度及Cobb角,促进脊柱功能恢复,提高患者日常生活能力。
Objective To compare the clinical efficacy of percutaneous kyphoplasty(PKP)and open reduction internal fixation in the treatment of multi⁃level traumatic spinal fracture.Methods 72 patients with multi⁃level traumatic spinal fracture,admitted into Tieling Central Hospital between November 2017 and November 2020,were enrolled as research subjects,and divided into PKP group(n=36)and open reduction group(n=36)using the random number table.Patients in the PKP group were treated with the PKP,while patients in the open reduction group were treated with the traditional open reduction and internal fixation.The anterior vertebral body height,Cobb angle,Oswestry disability index(ODI),Barthel index and occurrence of complications were compared between the two groups.Results Respectively at month 1 and 6 after surgery,the anterior vertebral body heights of patients were both obviously higher(t=2.120 and 3.579,P=0.038,P<0.001),the Cobb angles were significantly smaller(t=6.772 and 9.937,both P<0.001),ODI scores were markedly lower(t=8.348 and 9.883,both P<0.001),and the Barthel index scores were obviously higher(t=17.958 and 29.613,both P<0.001)in the PKP group compared with the open reduction group.The incidence of postoperative complications of patients was 8.3%in the PKP group,which showed no statistically significant difference com⁃pared with the corresponding 25.0%of patients in the open reduction group(χ^(2)=3.600,P=0.058).Conclusion In the treatment of multi⁃level traumatic spinal fracture,PKP can significantly improve the anterior vertebral body height and Cobb angle of the affected vertebra,promote the functional recovery of spinal cord,and increase the patients’activities of daily living.
作者
刘俭
孙立军
LIU Jian;SUN Lijun(DepartmentⅡof Orthopedics,Tieling Central Hospital,Tieling,Liaoning 112000,China)
出处
《中国烧伤创疡杂志》
2023年第3期215-218,共4页
The Chinese Journal of Burns Wounds & Surface Ulcers
关键词
经皮椎体后凸成形术
切开复位内固定
脊柱骨折
椎体前缘高度
COBB角
脊柱功能
日常生活能力
Percutaneous kyphoplasty
Open reduction internal fixation
Spinal fracture
Anterior vertebral body height
Cobb angle
Spinal function
Activities of daily living
