摘要
目的对比分析骨质疏松性椎体骨折微创与开放手术治疗的适应证、技术要点及效果。方法 84例骨质疏松性椎体骨折患者,分别采用后路开放椎弓根钉棒复位内固定术以及后路微创椎体成形术治疗。结果 84例随访3个月～4年,平均2.7年,优良率为91.7%。患者脊柱后凸畸形Cobb角由术前的平均68°改善为术后的平均9.1°,平均矫正率为90.4%。钉棒内固定系统坚强可靠,未发现内植物松动、断裂、假关节形成等;椎体成形术患者术后未有骨水泥渗漏致截瘫、矫正度数丢失等并发症。结论微创下椎体成形术治疗骨质疏松性椎体骨折,损伤小、手术时间短,临床中有时需结合开放复位内固定术解决椎管内病变,但需掌握好适应证。
Objective To compare and analyze the indications,key skills and effect of minimally invasive and open surgery treating osteoperotic fractures.Methods 84 cases of osteoporotic fractures were treated by posterior fixation open pedicle screw reset and posterior minmally invasive vertebroplasty surgery.Results 84 patients had been followed up for 3~ 48 months,mean 32 months.The excellent rate was 91.7 percent.Cobb＇s degree improved to 9.1 degree from 68 degree,average improvement of 90.4%.Screw and rod system strong and reliable without complications of implant loosening,fracture,pseudar-throsis or leakage to parapkegia.Conclusion Minimally invasive technique is effect on osteoporotic fractures,with indications ansidered,less damage,shorter time,combining open surgery to treat spinal lesions and worthy of promotion.
出处
《基层医学论坛》
2012年第34期4497-4498,共2页
The Medical Forum
