摘要
目的探讨椎旁肌间隙入路椎弓根螺钉内固定治疗胸腰段脊柱骨折的临床疗效。方法选择本院收治的胸腰段脊柱骨折106例,以随机信封法分为常规组与治疗组,各53例,常规组采取传统入路椎弓根螺钉内固定治疗,治疗组采取椎旁肌间隙入路椎弓根螺钉内固定治疗。比较两组手术时间、术中出血量、术后下床活动时间等。结果治疗组手术时间、术中出血量、术后下床活动时间均优于常规组(P<0.05);术后6个月,两组NRS评分、伤椎Cobb's角均明显降低,伤椎前缘高度比明显升高(P<0.05);术后6个月,治疗组NRS评分、伤椎Cobb's角均低于常规组(P<0.05)。结论椎旁肌间隙入路椎弓根螺钉内固定治疗胸腰段脊柱骨折的效果显著,值得临床应用。
Objective To investigate the clinical effect of paraspinal muscle gap approach pedicle screw internal fixation in the treatment of thoracolumbar spine fracture. Methods According to the random envelope method, 106 cases of thoracolumbar spine fractures treated in our hospital were divided into conventional group and treatment group, with 53 cases in each group. The conventional group was treated with conventional pedicle screw internal fixation. The treatment group was treated with paraspinal muscle gap approach pedicle screw internal fixation. The operation time, intraoperative blood loss, postoperative activity out of bed time of both groups were compared. Results The operation time intraoperative blood loss, postoperative activity out of bed time in the treatment group were better than those in the conventional group（P〈0.05）. At 6 months after surgery, the NRS score and Cobb＇s angle significantly reduced, and the height ratio of front vertebral obviously increased in both groups（P〈0.05）; the NRS score and Cobb＇s angle in the treatment group were lower than those in the conventional group（P〈0.05）. Conclusion The treatment of thoracolumbar spine fractures with paraspinal muscle gap approach pedicle screw internal fixation has significant effect, which is worthy of clinical application.
作者
贾文鹏
JIA Wen-peng(the Hospital of Fuping County, Weinan 711700, China)
出处
《临床医学研究与实践》
2018年第14期54-55,共2页
Clinical Research and Practice
关键词
胸腰段脊柱骨折
椎旁肌间隙入路椎弓根螺钉内固定
传统入路椎弓根螺钉内固定
thoracolumbar spine fracture
paraspinal muscle gap approach pedicle screw internal fixation
conventional pedicle screw internal fixation
