摘要
[目的]探讨经椎弓根行椎体楔形截骨术（PSO ）治疗陈旧性胸腰椎压缩骨折伴后凸畸形疗效。[方法]选择经椎弓根行椎体楔形接骨术治疗的陈旧性胸腰椎压缩骨折伴后凸畸形患者19例，比较术前、术后Cobb角度变化和神经功能Frankel分级。[结果]矫正后术后3个月胸腰椎后凸Cobb角为10．3＆#176;＆#177;2．6＆#176;，与术前46＆#176;＆#177;11．3＆#176;比较有统计学差异（ t ＝3．886， P ＜0．01），矫正率为77．6％（36/46）；术后24个月随访胸腰椎后凸Cobb角为12．6＆#176;＆#177;1．8＆#176;，与术前比较有统计学差异（ t ＝3．742，P ＜0．01），与术后3个月比较无统计学差异（ t ＝0．576，P ＞0．05），矫正丢失率5．0％（2/36）。手术后患者神经功能Frankel分级显示：3例A级2例改善到C级，5例B级中1例改善到C级，1例改善到D级，4例C级中1例改善E级，5例D级中1例改善到E级。[结论]经椎弓根行椎体楔形截骨术治疗陈旧性胸腰椎压缩骨折伴后凸畸形，疗效满意，值得临床推广应用。
[Objective] To explore the efficacy of transpedicular vertebral wedge osteosynthesis （PSO） for the treatment of old thoracolumbar compression fracture with kyphosis .[Methods]A total of 19 patients with old thoracolumbar vertebral compression and kyphosis undergoing PSO were chosen .The change of Cobb an-gle and Frankel classification of nerve function before and after operation were compared .[Results]Compared with before operation[（46 ＆#177; 11 .3）＆#176;] ,the Cobb angle of thoracolumbar kyphosis after correction for 3 months was （10 .3 ＆#177; 2 .6）＆#176; ,and there was significant difference（ t =3 .886 ,P ＆lt;0 .01） ,and the correction rate was 77 .6% （36/46） .After follow-up for 24 months ,the Cobb angle of thoracolumbar kyphosis was （12 .6 ＆#177; 1 . 8）＆#176; ,and there was significant difference between before treatment and after follow up for 24 months（ t =3 . 742 ,P ＆lt;0 .01） ,but there was no significant difference between after follow up for 24 hours and 3 months af-ter operation（ t=0 .576 ,P＆gt;0 .05） .The correction loss rate was 5 .0% （2/36） .After the operation ,Frankel classification of nerve function showed that 3 patients were improved from grade A to grade C ,and 1 patient a-mong 5 patients was improved from grade B to grade C ,and 1 patient of them was improved from grade B to grade D ,and 1 patient among 4 patients was improved from grade C to grade E ,and 1 patient among 5 pa-tients was improved from grade D to grade E .[Conclusion] PSO for the treatment of old thoracolumbar com-pression fracture with kyphosis has satisfactory effect ,so it is worthy of clinical promotion .
出处
《医学临床研究》
CAS
2013年第11期2176-2178,共3页
Journal of Clinical Research
关键词
脊柱骨折
外科学
胸椎
外科学
腰椎
外科学
截骨术
Spinal Fractures/SU
Thoracic Vertebrae/SU
Lumbar Vertebrae/SU
Osteotomy
