摘要
目的:分析在脊柱骨折的临床治疗中后路减压植骨术联合经椎弓根螺钉内固定的应用效果。方法:按照双色球法对老河口市第一医院2022年3月—2025年1月收治的62例脊柱骨折患者进行分组。对照组(31例)实施经椎弓根螺钉内固定,观察组(31例)在对照组基础上联合后路减压植骨术。比较两组治疗前后的脊髓损伤情况、脊柱功能、术后并发症发生情况。结果:术前,两组运动觉和触觉评分比较,差异无统计学意义(P>0.05)。术后8周,两组运动觉和触觉评分较术前升高,且观察组运动觉和触觉评分分别为(80.12±6.81)、(97.06±6.74)分,高于对照组的(64.52±5.85)、(91.49±4.55)分(P<0.05)。术前,两组Oswestry功能障碍指数(ODI)评分、脊柱Cobb角、伤椎高度、伤椎楔形角比较,差异无统计学意义(P>0.05)。术后8周,两组ODI评分和脊柱Cobb角均较术前降低,且观察组ODI评分和脊柱Cobb角分别为(11.98±1.11)分、(6.02±1.22)°,低于对照组的(17.17±2.46)分、(9.34±2.14)°(P<0.05)。术后8周,两组伤椎高度和伤椎楔形角较术前升高,且观察组伤椎高度和伤椎楔形角分别为(3.87±0.94)cm、(-1.02±0.29)°,高于对照组(2.69±0.73)cm、(-1.63±0.44)°(P<0.05)。观察组术后8周内并发症发生率为6.45%(2/31),低于对照组29.03%(9/31)(P<0.05)。结论:后路减压植骨术联合经椎弓根螺钉内固定能够促进脊柱骨折患者术后脊髓损伤和脊柱功能恢复,减少术后并发症发生。
Objective:To analyze the effect of posterior decompression and bone grafting surgery combined with internal fixation through pedicle screw on postoperative recovery of patients with spinal fractures.Method:According to the double color ball method,62 patients with spinal fractures admitted to the No.1 Hospital of Laohekou City from March 2022 to January 2025 were grouped.The control group(31 cases)underwent internal fixation through pedicle screw,while the observation group(31 cases)combined posterior decompression and bone grafting surgery on the basis of the control group.The conditions of spinal cord injury,spinal function before and after treatment,and postoperative complications were compared between the two groups.Result:Before surgery,there were no statistically significant difference in motor and tactile scores between the two groups(P>0.05).Eight weeks after surgery,both groups showed an increase in motor and tactile scores compared to preoperative levels,the observation group had motor and tactile scores of(80.12±6.81)and(97.06±6.74)points,respectively,which were higher than(64.52±5.85)and(91.49±4.55)points of the control group(P<0.05).Before surgery,there were no statistically significant differences in the Oswestry disability index(ODI)score,spinal Cobb angle,height of the injured vertebra,and wedge angle of the injured vertebra between the two groups(P>0.05).Eight weeks after surgery,both groups showed a decrease in ODI score and spinal Cobb angle compared to preoperative levels,the ODI score and spinal Cobb angle in the observation group were(11.98±1.11)points and(6.02±1.22)°,respectively,which were lower than(17.17±2.46)points and(9.34±2.14)°in the control group(P<0.05).The height of the injured vertebra and wedge angle of the injured vertebrae at 8 weeks after surgery in both groups increased compared to preoperative levels,and the height of the injured vertebrae and the wedge angle of the injured vertebrae in the observation group were(3.87±0.94)cm and(-1.02±0.29)°,respectively,which were higher than(2.69±0.73)cm and(-1.63±0.44)°in the control group(P<0.05).The incidence of complications within 8 weeks after surgery in the observation group was 6.45%(2/31)lower than 29.03%(9/31)in the control group(P<0.05).Conclusion:Posterior decompression bone grafting surgery combined with internal fixation through pedicle screw can promote the recovery of spinal cord injury and spinal function in patients with spinal fractures after surgery and reduce the occurrence of postoperative complications.
作者
刘毅
LIU Yi(Department of Orthopedics,No.1 Hospital of Laohekou City,Laohekou 441800,China)
出处
《中国医学创新》
2026年第3期74-78,共5页
Medical Innovation of China
关键词
脊柱骨折
后路减压植骨术
经椎弓根螺钉内固定
脊髓损伤
脊柱功能
Spinal fracture
Posterior decompression and bone grafting surgery
Internal fixation through pedicle screw
Spinal cord injury
Spinal function
