摘要
目的探讨肌间隙入路治疗无神经压迫症状的胸腰段骨折的临床疗效。方法回顾分析我科2011-01-2011-06收治的30例无神经压迫症状的胸腰段骨折患者行肌间隙入路切开复位植骨内固定术治疗,对手术时间、出血量、是否应用止痛药物、视觉模拟评分（VAS）、椎体前缘上下终板高度、术后第5天复查血：WBC、CRP、ESR进行分析。结果 30例均获得随访,随访时间12~18个月,平均12.6个月。平均手术时间63 min,出血量178 ml,均未使用止痛药物,VAS评分由术前8.5降至术后1.7。结论肌间隙入路是治疗无神经压迫症状胸腰段骨折的理想入路。
Objective To cuve thoracolumbar fractures treatment through para-spina approach.Methods The clinical data of 30 patients who suffered from thoracolumbar fractures without neurological symptoms or decompression admitted in our hospital from January 2011 to June 2011,and underwent surgical treatment through paraspinal approach,were retrospectively analyzed.The operation time,blood loss,pain killer,the VAS score,the anterior vertebral height,WBC,CRP,ESR 5 days after operation were analyzed.Results All the patients were followed up for 12-18 months,averge 12.6 months.The averge volume of blood loss was 178ml,and averge operation time was 63 min.All the patients didn’t use pain killer.VAS score was descended from 8.5 preoperation to 1.7 postoperative 5 days.Conclusion Paraspinal approach is an ideal way of surgery for thoracolumbar fractures without neurological symptoms or decompression
出处
《颈腰痛杂志》
2013年第4期317-319,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
肌间隙
胸腰段骨折
椎弓根钉系统
paraspinal approach
thoracolumbar fracture
pedicle screw system
