| 路多,代文杰,李海涛,凤豪,李成,余海宁,刘纪涛.经伤椎置钉短节段内固定术治疗单节段胸腰椎骨折的临床疗效及术后并发症发生情况[J].脊柱外科杂志,2020,18(5):321-324. |
经伤椎置钉短节段内固定术治疗单节段胸腰椎骨折的临床疗效及术后并发症发生情况  点此下载全文 (Fulltext) |
| 路多 代文杰 李海涛 凤豪 李成 余海宁 刘纪涛 |
| 汉中市人民医院骨科, 汉中 723000 |
| 基金项目： |
| DOI：10.3969/j.issn.1672-2957.2020.05.007 |
| 摘要点击次数: 396 |
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| 摘要： |
| 目的 探讨经伤椎置钉短节段内固定术治疗单节段胸腰椎骨折的临床疗效及术后并发症发生情况。方法 2016年9月—2018年9月收治单节段胸腰椎骨折患者100例，依据随机数字表法分为经伤椎短节段内固定组（A组，50例）和跨伤椎短节段内固定组（B组，50例）。比较2组围手术期情况、脊柱稳定性、Oswestry功能障碍指数（ODI）和疼痛视觉模拟量表（VAS）评分改善情况及术后并发症发生情况。结果 所有手术顺利完成。所有患者随访12~22（18.23±3.68）个月。2组术中出血量、住院时间差异无统计学意义（P > 0.05），A组手术时间长于B组，差异有统计学意义（P < 0.05）。2组术后6、12个月伤椎Cobb角、椎体前缘高度压缩比、ODI、VAS评分均较术前改善，且A组改善情况均优于B组，差异均有统计学意义（P < 0.05）。2组均无断钉、断棒、脊柱后凸畸形等严重并发症发生，A组慢性腰痛、螺钉松动发生率低于B组，差异有统计学意义（P < 0.05）。结论 经伤椎置钉短节段内固定术可有效改善单节段胸腰椎骨折患者脊柱稳定性、腰椎功能及疼痛情况，且可减少慢性腰痛、螺钉松动等并发症的发生，值得临床推广。 |
| 关键词：胸椎 腰椎 脊柱骨折 内固定器 |
| Clinical efficacy and postoperative complications of single-segmental thoracolumbar fracture treated by trans-injured vertebral short segment internal fixation Fulltext |
| LU Duo DAI Wen-jie LI Hai-tao FENG Hao LI Cheng YU Hai-ning LIU Ji-tao |
| Department of Orthopaedics, Hanzhong People's Hospital, Hanzhong 723000, Shaanxi, China |
| Fund Project: |
| Abstract: |
| Objective To investigate the clinical efficacy and postoperative complications of single-segmental thoracolumbar fracture treated by trans-injured vertebral short segment internal fixation. Methods From September 2016 to September 2018，100 patients with single-segmental thoracolumbar fracture were treated. According to the random number table，they were equally divided into 2 groups：trans-injured vertebra short segment internal fixation group（group A，50 cases） and cross-injured vertebral short segment internal fixation group（group B，50 cases）. The perioperative condition，the improvement of spinal stability，Oswestry disability index（ODI） and pain visual analogue scale（VAS） score，and postoperative complications were compared between the 2 groups. Results All the operations were successfully completed. All the patients were followed up for 12-22 （18.23±3.68）months. There was no significant difference in the intraoperative blood loss and hospital stay between the 2 groups（P > 0.05）. The operation time was significantly higher in group A than in group B，and the difference was statistically significant （P < 0.05）. The Cobb's angle，compression ratio of vertebral body anterior height，ODI and VAS score in the 2 groups were significantly improved at postoperative 6 and 12 months，and the improvement of group A was better than that of group B，and the differences were all statistically significant（P < 0.05）. There were no serious complications such as breakage nail or rod，kyphosis occurred in the 2 groups. The incidence of chronic low back pain and loosening of nails were significantly lower in group A than in group B，and the difference was statistically significant（P < 0.05）. Conclusion Trans-injured vertebral short segment internal fixation can effectively improve spinal stability，lumbar function and pain of patients with single-segmental thoracolumbar fracture，and reduce the complications such as chronic low back pain and loosening of screws，thus being worthy of further clinical promotion. |
| Keywords:Thoracic vertebrae Lumbar vertebrae Spinal fractures Internal fixators |
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