[1]邓洪利,高文杰,朱金文,等.两种微创内固定方式治疗胸腰椎骨折的疗效比较[J].中国中医骨伤科杂志,2018,26(11):72-76.
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两种微创内固定方式治疗胸腰椎骨折的疗效比较()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年11期
页码:
72-76
栏目:
临床报道
出版日期:
2018-10-30

文章信息/Info

文章编号:
1005-0205(2018)11-0072-05
作者:
邓洪利1; 高文杰1; 朱金文1; 王晓东1; 周劲松1△
1西安市红会医院(西安,710054)
关键词:
胸腰椎骨折;  经皮微创复位内固定;  跨伤椎;  伤椎置钉
分类号:
R683.2
文献标志码:
B
摘要:
目的:探讨经皮微创复位内固定(MIPPSF)治疗胸腰椎骨折中,跨伤椎置钉、经伤椎置钉两种微创内固定方式的临床疗效。 方法:回顾性分析本院2016年6月至2017年6月收治的49例胸腰椎单节段骨折患者,均采用后路MIPPSF治疗,其中23例行跨伤椎置钉(A 组),26 例行经伤椎置钉(B 组)。 分析和比较两组术前、术后1周、术后1个月、术后3个月、术后6个月及术后12个月侧位X线片伤椎前缘高度比值(AVH)、伤椎Cobb角、腰背疼痛VAS评分的差异。结果:所有病例术后均获12～18个月,平均(12.5±2.3)个月随访。两组组内术后的AVH、伤椎Cobb角、VAS评分、ADL评分与术前差异均有统计学意义(P<0.05); 两组组内术后3个月、术后6个月及术后12个月AVH,Cobb 角及VAS评分比较,A组的差异有统计学意义(P<0.05),B组的差异无统计学意义(P>0.05); A组术后1周、1个月、3个月ADL评分差异有统计学意义(P<0.05),术后6个月、12个月差异无统计学意义(P>0.05); B组术后ADL评分差异有统计学意义(P<0.05); 两组间比较,术后1周、术后1个月、术后3个月伤椎前缘高度比值(AVH)及伤椎Cobb 角差异无统计学意义(P>0.05),术后6个月、术后12个月伤椎前缘高度比值(AVH)及伤椎Cobb 角A组与B组差异有统计学意义(P<0.05)。B组未发生断钉断棒等现象,A组则有1例断钉1例断棒。结论:在后路MIPPSF治疗胸腰椎骨折中,两种手术方式均能起到良好的矫正效果,与跨伤椎相比,伤椎置钉能更有效维持矫正效果、重建椎体高度及减少内固定并发症,更适合临床推广应用。

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备注/Memo

备注/Memo:
△通信作者 E-mail:jszhou_1st@sina.com
更新日期/Last Update: 2018-10-10