中国医学创新Issue(36)：39-40,41,3.DOI:10.3969/j.issn.1674-4985.2013.36.017
经后路不同减压术在胸腰椎爆裂性骨折治疗中的效果比较
Comparison of the Effect of Different Decompression by Posterior in the Treatment of Thoracolumbar Burst Fractures
余坤民 1潘斌文1
作者信息
- 1. 江西省弋阳县人民医院 江西 弋阳 334400
- 折叠
摘要
Abstract
Objective:To investigate the clinical value of different decompression by posterior in the treatment of thoracolumbar burst fractures. Method:84 patients with thoracolumbar burst fractures in our hospital from January 2012 to March 2013 were divided into control group and experimental group by different treatment.The experimental group were treated with indirect decompression on the basis of routine treatment,while the control group were treated with direct decompression on the basis of routine treatment. Result:After surgery,the vertebral height ratio,Cobb angle,canal compromise rate of two group were greatly improved,there were significant difference compared with before surgery(P<0.05)and no significant difference between two groups(P>0.05). The independent living rate,the complication rate and the ASIA improvement rate of the experimental group were higher than the control group,there were significant difference between two group(P<0.05). Conclusion:Indirect decompression and direct decompression are equivalent on efficacy,but indirect decompression leads to a better aftermath and better neurological function,at the same time,the rate of independent living is higher than that of direct decompression,worthy to recommend its clinical use.关键词
胸腰椎爆裂性骨折/直接减压术/间接减压术Key words
Thoracolumbar burst fractures/Direct decompression/Indirect decompression引用本文复制引用
余坤民,潘斌文..经后路不同减压术在胸腰椎爆裂性骨折治疗中的效果比较[J].中国医学创新,2013,(36):39-40,41,3.
