国际医药卫生导报2014,Vol.20Issue(15):2294-2296,3.DOI:10.3760/cma.j.issn.1007-1245.2014.15.027
经椎旁肌间隙入路伤椎内固定治疗无神经损伤胸腰椎骨折临床效果观察
Observation on clinical effects of treating thoracolumbar fractures without nerve damages via posterior pedicle fixation and vertebral bone graft through the gap of paraspinal muscles
王正祥 1刘卫华 1潘绍松 1董锡亮 1赵伟 1杨子斌 1吕乔 1程微1
作者信息
摘要
Abstract
Objective To discuss the clinical effects of treating thoracolumbar fractures without nerve damages via posterior pedicle fixation and vertebral bone graft through the gap of paraspinal muscles.Methods 600 patients of vertebral fractures were divided into the groups of observation and control.The systematic therapies of the pedicle screw were given to patients,through the gap of paraspinal muscles for the observation group,and through the traditional posterior approach for the control group.Then we observed the efficacy in both groups.Results The observation group was obviously less than the control group in terms of the blood loss during the operation,bed time and pain scores after the operation (P < 0.05).The correction rate of both Cobb angle and vertebral collapse was comparable to one another (P > 0.05).Conclusion Treating thoracolumbar fractures without nerve damages via posterior pedicle fixation and vertebral bone graft through the gap of paraspinal muscles,has the advantages of fewer traumas and less blood loss during the operation,and fast postoperative recovery,which is consistent with the modern minimally invasive concept.关键词
胸腰椎骨折/经椎旁肌间隙入路/传统后正中入路Key words
Thoracolumbar fractures/ Gap of paraspinal muscles/ Traditional posterior approach引用本文复制引用
王正祥,刘卫华,潘绍松,董锡亮,赵伟,杨子斌,吕乔,程微..经椎旁肌间隙入路伤椎内固定治疗无神经损伤胸腰椎骨折临床效果观察[J].国际医药卫生导报,2014,20(15):2294-2296,3.