标题：经伤椎椎弓根植骨置钉后路复位内固定术治疗胸腰椎骨折疗效观察

      作者：柯绍强，苏中南，胡海生    (阳春市人民医院外四科，广东 阳春 529600)

      卷次： 2018年29卷14期

      【摘要】 目的 探讨经伤椎椎弓根植骨置钉后路复位内固定术治疗胸腰椎骨折的临床疗效，以期为临床上胸腰椎骨折治疗方法的选择提供依据。方法 选择2016年1月至2017年1月期间阳春市人民医院外四科收治的72例胸腰椎骨折患者为研究对象，根据随机数表法分为对照组和观察组，每组36例，对照组患者予传统的跨伤椎后路复位内固定术，观察组患者采用经伤椎椎弓根植骨置钉后路复位内固定术。比较两组患者围手术期指标，并对患者进行 6个月的随访，采用视觉疼痛模拟评分(VAS)评价疼痛程度，同时记录Cobb角及椎体前高压缩比的变化。结果 观察组患者的手术时间为(113.6±18.2) min，明显长于对照组的(94.2±15.3) min，差异有统计学意义(P<0.05)；术后6个月，观察组患者的VAS评分为(2.5±0.7)分，Cobb角及椎体前高压缩比分别为(11.4±1.8)°、(92.3±5.7)%，明显优于对照组的(3.4±1.2)分，(14.2±1.6)°、(86.6±4.3)%，差异均有统计学意义(P<0.05)。结论 经伤椎椎弓根植骨置钉后路复位内固定术治疗胸腰椎骨折可以更好的矫正后凸畸形、重建椎体高度，临床疗效确切。
      【关键词】 胸腰椎骨折；后路复位；内固定；疗效
      【中图分类号】 R683.2 【文献标识码】 A 【文章编号】 1003—6350（2018）14—1960—03

Clinical analysis of posterior reduction and internal fixation with bone pedicle screw in the treatment ofthoracolumbar fracture.
KE Shao-qiang, SU Zhong-nan, HU Hai-sheng. Department of Surgery No.4, YangchunPeople's Hospital, Yangchun 529600, Guangdong, CHINA
【Abstract】 Objective To explore the clinical effect of posterior reduction and internal fixation for the treat-ment of thoracolumbar fractures, to provide basis for the selection of treatment methods for thoracolumbar fractures.Methods A total of 72 cases of thoracolumbar fracture patients treated in Department of Surgery No.4 of YangchunPeople's Hospital during January 2016 and January 2017 were selected and divided into the observation group and thecontrol group according to random number method, with 36 cases in each group. The control group received traditionalinter vertebral posterior reduction and internal fixation, and the observation group was treated with posterior reductionand internal fixation with bone pedicle screw. The perioperative indicators of the two groups were compared, and the pa-tients were followed up for 6 months. The pain degree was evaluated by Visual Analogue Scales (VAS), and the changesof Cobb angle and high compression ratio before vertebral body were recorded. Results The operation time of the ob-servation group was (113.6±18.2) min, which was significantly higher than (94.2±15.3) min of the control group (P<0.05); after 6 months, the VAS score, Cobb angle and anterior vertebral height compression ratio in observation groupwere (2.5±0.7), (11.4±1.8)°, (92.3±5.7)%, respectively, which were significantly better than corresponding (3.4±1.2),(14.2 ± 1.6)° , (86.6 ± 4.3)% in the control group (P<0.05). Conclusion Posterior reduction and internal fixation withbone pedicle screw for thoracolumbar fractures can better correct kyphosis and reconstruct the height of vertebral body.
      【Key words】 Thoracolumbar fracture; Posterior reduction; Internal fixation; Curative effect·论 著·doi:10.3969/j.issn.1003-6350.2018.14.011