| 摘要: |
| ［摘要］ 目的 观察经椎弓根植骨治疗胸腰椎爆裂性骨折的临床效果。方法 选取2013-05～2014-05佛山市中医院收治的45例胸腰椎爆裂性骨折患者，随机分为观察组（23例）和对照组（22例），对照组予经损伤椎体后路钉棒固定；观察组在对照组治疗的基础上行椎弓根植骨，比较两组患者术后3个月的损伤节段椎体Cobb角、固定并发症发生率、疼痛视觉模拟评分（VAS）、功能障碍指数（CODI）、骨折愈合情况及椎体高度压缩率。结果 术后3个月，观察组患者的损伤节段椎体Cobb角、椎体高度压缩率、VAS及CODI均明显低于对照组，差异有统计学意义（P<0.05）；观察组骨折愈合率（82.60%）明显高于对照组（54.55%），差异有统计学意义（P<0.05）；观察组内固定并发症发生率为8.70%，对照组为9.10%，两组比较差异无统计学意义（P>0.05）。结论 经椎弓根植骨能有效降低胸腰椎爆裂性骨折患者椎体不愈合率，临床疗效较好，值得推广应用。 |
| 关键词: 经椎弓根植骨 爆裂性骨折 胸腰椎 |
| DOI：10.3969/j.issn.1674-3806.2016.02.13 |
| 分类号:R 68 |
| 基金项目: |
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| Observation on clinical effect of vertebral arch bone grounding on the treatment of thoracolumbar spine burst fracture |
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PENG Zhi-hao
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Department of Orthopaedics, Foshan Hospital of Traditional Chinese Medicine, Guangdong 528000, China
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| Abstract: |
| ［Abstract］ Objective To observe the clinical effect of vertebral arch bone grounding on the treatment of thoracolumbar spine burst fracture.Methods Forty-five patients with thoracolumbar spine burst fractures admitted to Foshan Hospital of Traditional Chinese Medicine from May 2013 to May 2014 were randomly divided into the observation group(n=23) and the control group(n=22). The patients in the control group only underwent vertebral posterior screw rod fixation. Patients in the observation group underwent transpedicular bone grafting based on that applied on patients in the control group, vertebral injury segment Cobb angle, incidence of fixed complications, visual analogue scale(VAS), Chinese version of oswestry disability index(CODI) evaluation, fracture healing state and the height of vertebral body compression rate were compared between the two groups three months after the operation.Results Vertebral injury segment Cobb angle, vertebral body height compression ratio, visual analogue scale(VAS) and CODI evaluation in the observation group were significantly lower than those of patients in the control group three months after the operation(P<0.05); The fracture healing rate of the patients in the observation group(82.60%) was significantly higher than that of the patients in the control group(54.55%)(P<0.05). The incidence of internal fixation complication was 8.70% in the observation group, and 9.10% in the control group(P>0.05).Conclusion Vertebral arch bone grounding is a safe and effective method for the treatment of thoracolumbar spine burst fracture. |
| Key words: Vertebral arch bone grounding Brust fracture Thoracolumbar spine |
