目的探讨“危亦林悬吊复位法”联合经皮钉棒固定微创手术治疗胸腰椎骨折的临床效果。方法回顾性分析80例胸腰椎骨折患者的临床资料。将采用“危亦林悬吊复位法”联合经皮钉棒固定微创手术治疗的患者纳入观察组(28例),采用单纯经皮钉棒固定微创手术治疗的患者纳入对照组(27例),采用保守治疗的患者纳入保守组(25例)。对比三组患者治疗前、治疗后3个月的椎体高度、VAS评分及日本骨科协会(JOA)评分。结果治疗后3个月,三组患者的椎体前缘高度(Ha)、椎体后缘高度(Hp)均上升,VAS评分均显著下降,JOA评分中的主观症状、临床体征、日常活动受限度及膀胱功能评分均上升,且观察组变化更显著(均P<0.05)。结论胸腰椎骨折患者采用改良后的“危亦林悬吊复位法”联合经皮钉棒固定微创手术治疗效果确切,可有效恢复椎体高度,减轻患者疼痛,促进腰椎功能恢复,值得临床推广。
ObjectiveTo investigate the clinical effect of “Weiyilin suspension reduction” combined with minimally invasive percutaneous screw rod fixation in the treatment of thoracolumbar fracture. MethodsThe clinical data of 80 patients with thoracolumbar fracture were retrospectively analyzed. The patients treated with “Weiyilin suspension reduction” combined with minimally invasive percutaneous screw rod fixation were enrolled in observation group (28 cases), whereas the patients treated with simple minimally invasive percutaneous screw rod fixation were assigned to control group (27 cases), and the patients received conservative treatment were enrolled in conservative group (25 cases). The vertebral height, VAS score and Japanese Orthopaedic Association (JOA) score before and 3 months after treatment were compared between the three groups. ResultsThree months after treatment, the three groups yielded higher height of anterior vertebral (Ha) and height of posterior vertebral (Hp), lower VAS scores significantly, and higher various scores including subjective symptoms, clinical signs, limitation of daily activities and bladder function scores in JOA scores, and the observation group yielded more significant changes (all P<0.05). ConclusionThe modified “Weiyilin suspension reduction” combined with minimally invasive percutaneous screw rod fixation has an exact effect on patients with thoracolumbar fracture, which can effectively recover the height of vertebral body, relieve the pain of patients, and promote the recovery of lumbar function. It is worthy of clinical promotion.