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椎体成形术联合短节段椎弓根螺钉固定治疗胸腰椎骨折的临床研究
Clinical study of vertebroplasty and posterior short-segment pedicle screw fixation in the treatment of thoracolumbar fractures

微创医学 201605期 页码:675-677,767

作者机构:广东省肇庆市第一人民医院骨科,肇庆市526040

基金信息:作者简介:吴世寨(1973~),男,本科,主治医师,研究方向:脊椎疾病的诊治。

DOI:DOI:10.11864/j.issn.1673.2016.05.05

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨硫酸钙骨水泥椎体成形术联合后路短节段椎弓根螺钉固定治疗胸腰椎骨折合并脊髓受压患者的效果。方法150例胸腰椎骨折合并脊髓受压患者随机分为观察组和对照组,每组75例。观察组接受硫酸钙骨水泥椎体成形术联合后路短节段椎弓根螺钉固定治疗,对照组仅采用后路短节段椎弓根螺钉固定治疗。观察比较两组术前术后的神经功能恢复及随访半年的情况。结果治疗1个月后,观察组患者触觉评分、运动评分、Cobb′s角及伤椎高度等各项指标均优于对照组,两组比较,差异有统计学意义(P<0.05);随访半年,观察组神经功能恢复要优于对照组,两组比较,差异有统计学意义(P<0.05)。结论硫酸钙骨水泥椎体成形术联合后路短节段椎弓根螺钉固定治疗胸腰椎骨折效果良好。
ObjectiveTo investigate the calcium sulfate bone cement vertebroplasty and posterior short-segment pedicle screw fixation in the treatment of patients with thoracolumbar fracture and spinal cord compression. MethodsA total of 150 patients with thoracolumbar fracture and spinal cord compression were randomly divided into control group and observation group,75 cases in each group. Patients in observation group received calcium sulfate bone cement vertebroplasty and posterior short-segment pedicle screw fixation treatment, while the patients in the control group received posterior pedicle screw fixation. The recovery of neurological function was compared between the two groups before and after operation, and the situation of the patients were followed up for six months. ResultsAfter 1 month of treatment, the tactile scores, motor score, Cobb′s angle and vertebral height of observation group were superior to those of control group, the differences were statistically significant (P<0.05);Follow-up for six months, neurological function recovery of observation group was better than that of control group, the difference was statistically significant (P<0.05). ConclusionIt’s effective in the treatment of thoracolumbar fractures using calcium sulfate cement vertebral plasty combined with posterior pedicle screw fixation.

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