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后路椎弓根内固定术联合椎体成形术治疗胸腰椎骨折患者的效果

张斌, 蒲昊, 王明忠, 刘团江, 郝定均

张斌, 蒲昊, 王明忠, 刘团江, 郝定均. 后路椎弓根内固定术联合椎体成形术治疗胸腰椎骨折患者的效果[J]. 实用临床医药杂志, 2020, 24(20): 15-17,21. DOI: 10.7619/jcmp.202020004
引用本文: 张斌, 蒲昊, 王明忠, 刘团江, 郝定均. 后路椎弓根内固定术联合椎体成形术治疗胸腰椎骨折患者的效果[J]. 实用临床医药杂志, 2020, 24(20): 15-17,21. DOI: 10.7619/jcmp.202020004
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ZHANG Bin, PU Hao, WANG Mingzhong, LIU Tuanjiang, HAO Dingjun. Effect of posterior pedicle screw internal fixation combined with vertebroplasty in treatment of patients with thoracolumbar fractures[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 15-17,21. DOI: 10.7619/jcmp.202020004
Citation: ZHANG Bin, PU Hao, WANG Mingzhong, LIU Tuanjiang, HAO Dingjun. Effect of posterior pedicle screw internal fixation combined with vertebroplasty in treatment of patients with thoracolumbar fractures[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 15-17,21. DOI: 10.7619/jcmp.202020004
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后路椎弓根内固定术联合椎体成形术治疗胸腰椎骨折患者的效果

  • 1. 陕西省西安济仁医院, 陕西 西安, 710300;

  • 2. 陕西省西安市红会医院, 陕西 西安, 710054

基金项目: 

陕西省科技攻关计划项目(010K13-02)

详细信息
    通讯作者:

    蒲昊, E-mail: jlplzj@163.com

  • 中图分类号: R683.2

Effect of posterior pedicle screw internal fixation combined with vertebroplasty in treatment of patients with thoracolumbar fractures

  • 1. Xi'an Jiren Hospital in Shaanxi Province, Xi'an, Shaanxi, 710300;

  • 2. Xi'an City Honghui Hospital in Shaanxi Province, Xi'an, Shaanxi, 710054

摘要

    摘要
  • 摘要: 目的 观察后路椎弓根内固定术联合椎体成形术治疗胸腰椎骨折患者的效果。 方法 将80例胸腰椎骨折患者随机分为2组,每组40例。对照组接受后路椎弓根内固定术,观察组接受后路椎弓根内固定术联合椎体成形术。比较2组治疗效果。 结果 观察组术中出血量、术后引流量低于对照组,差异有统计学意义(P<0.01)。治疗后, 2组后凸Cobb's角、视觉模拟评分法(VAS)评分均低于治疗前,且观察组后凸Cobb's角、VAS评分低于对照组,差异有统计学意义(P<0.01)。对照组发生神经根损伤1例,感染2例; 观察组发生感染1例。2组并发症发生率比较,差异无统计学意义(P>0.05)。治疗后,观察组健康调查量表(SF-36)各项目评分均优于对照组,差异有统计学意义(P<0.05)。 结论 后路椎弓根内固定术联合椎体成形术是一种高效的胸腰椎骨折治疗术式,可显著改善患者的生活质量和活动功能。
    Abstract: Objective To observe the effect of posterior pedicle screw internal fixation combined with vertebroplasty in the treatment of patients with thoracolumbar fractures. Methods Eighty patients with thoracolumbar fractures were randomly divided into two groups, with 40 cases in each group. Control group was treated with posterior pedicle screw internal fixation, and observation group was treated with posterior pedicle screw internal fixation and vertebroplasty. The therapeutic effect was compared between the two groups. Results The intra-operative blood loss and postoperative drainage volume of the observation group were significantly lower than those of the control group(P<0.01). After treatment, the kyphosis Cobb's angles and Visual Analogue Scale(VAS)scores in both groups were significantly lower than those before treatment, and the kyphosis Cobb's angle and VAS score of the observation group were significantly lower than those of the control group(P<0.01). There were 1 case of nerve root injury and 2 cases of infection in the control group, and 1 case of infection in the observation group. There was no significant difference in incidence of complications between the two groups(P>0.05). After treatment, the item score of Medical Outcomes Study Item Short Form for Health Survey(SF-36)in the observation group were significantly better than those in the control group(P<0.05). Conclusion Posterior pedicle screw internal fixation combined with vertebroplasty is an effective treatment for patients with thoracolumbar fractures, which can significantly improve the quality of life and activity function of patients.
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    • 参考文献(15)
  • 李佳, 王磊, 陈华. 经椎弓根内固定术联合椎体成形术治疗创伤性胸腰段脊柱骨折[J]. 中国临床研究, 2018, 31(10): 1383-1386.

    SABOUR S. Reliability of smartphone-based teleradiology for evaluating thoracolumbar spine fractures: statistical issue to avoid misinterpretation[J]. Spine J, 2017, 17(8): 1200-1207.
    肖易, 谭斌, 陈华燕, 等. 微创经皮和传统开放经椎弓根螺钉内固定术在胸腰椎骨折患者围手术期中的应用效果比较[J]. 贵州医药, 2017, 41(11): 1191-1193.
    林宇超, 刘俊麟, 李佳东, 等. 老年椎体骨折椎弓根螺钉内固定术后并发症[J]. 中国妇幼健康研究, 2017, 28(S4): 86-87.

    LIU J H, PANG Z B, XU W B, et al. Comparison of pedicle fixation by the Wiltse approach and the conventional posterior open approach for thoracolumbar fractures, using MRI, histological and electrophysiological analyses of the multifidus muscle[J]. Eur Spine J, 2017, 26(5): 1506-1514.
    昌震, 高文杰, 郭华, 等. 经皮后路椎弓根钉道强化合并伤椎椎体成形术治疗单节段胸腰椎骨质疏松重度压缩性骨折43例临床研究[J]. 陕西医学杂志, 2018, 47(6): 708-711.

    LUO D Q, LIAN K J, LI T, et al. Does the fracture fragment at the anterior column in thoracolumbar burst fractures get enough attention[J]. Medicine(Baltimore), 2017, 96(6): e5936-e5645.
    崔文宁, 钱文杰, 陈小艳, 等. 经皮椎弓根钉内固定治疗胸腰椎骨折置钉准确性分析[J]. 中国骨与关节损伤杂志, 2017, 32(11): 1174-1175.
    于荣华, 朱晓东, 梁朝革, 等. 微创经皮钉结合椎体成形术治疗无神经症状中老年胸腰椎爆裂性骨折[J]. 创伤外科杂志, 2018, 20(4): 249-252.

    SMITH W D, GHAZARIAN N, CHRISTIAN G. Acute and hyper-acute thoracolumbar corpectomy for traumatic burst fractures using a mini-open lateral approach[J]. Spine(Phila Pa 1976), 2018, 43(2): E118-E124.
    李怀玮, 阿海, 朱斌, 等. 后路经椎弓根内固定联合椎体成形术治疗老年胸腰段脊柱骨折的临床价值[J]. 中国综合临床, 2017, 33(8): 726-729.
    王雷, 金新蒙, 吕枫, 等. 后路短节段椎弓根螺钉固定联合椎体成形术或伤椎置钉治疗胸腰椎骨质疏松性骨折的疗效比较[J]. 中华创伤杂志, 2018, 34(5): 403-409.
    吴兆艺, 曹渊武, 陈子贤, 等. 短节段椎弓根螺钉固定联合椎体成形术治疗骨质疏松性胸腰椎压缩骨折[J]. 中华创伤杂志, 2018, 34(5): 395-402.
    陈敬忠, 张东, 肖伟, 等. 经皮椎弓根钉棒置入结合椎体成形治疗胸腰椎压缩性骨折的临床研究[J]. 河北医药, 2018, 40(15): 2272-2275.
    蒋伟宇, 马维虎, 赵华国, 等. 椎弓根螺钉结合伤椎成形与结合伤椎固定治疗骨质疏松性胸腰椎爆裂骨折的疗效比较[J]. 中国骨伤, 2018, 31(8): 703-708.
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出版历程
  • 收稿日期:  2020-08-24
  • 网络出版日期:  2020-12-21
  • 发布日期:  2020-11-12

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