临床骨科杂志2015，Vol.18Issue(6)：641-644,648,5.DOI:10.3969/j.issn.1008-0287.2015.06.001
伤椎置钉与伤椎置钉结合植骨治疗胸腰椎压缩性骨折的比较
Comparison of clinical outcomes of injured vertebral fixation combined with fractured verte-bral transpedicular bone graft for unstable thoracolumbar fracture
摘要
Abstract
Objective To assess the clinical effect, safety of short-segmental unilateral fractured vertebral pedicle screw fixation and bone graft through pedicle for unstable thoracolumbar fracture. Methods 67 cases of thoracolum-bar spine fracture were retrospectively analyzed. They were divided into two groups:37 patients were undergone short-segmental transvertebral pedicle screws internal fixation;30 patients were undergone short-segmental transvertebral pedicle screws internal fixation and bone graft. Intraoperative spinal angiography showed no vertebral canal decompres-sion was necessary. In the preoperative, postoperative 3 days, postoperative 18 months ( before taking out the internal fixation) and 6 months after taking out the internal fixation, the anterior height of the injured vertebrae and the adja-cent two normal vertebrae, and the Cobb angle of the injured vertebrae were measured. The compression rate, the loss of correction, the operation time, and blood loss of the two groups were compared. Results 67 patients were followed up for 24 months. Significant difference was found between the two groups in the operation time and the blood loss,and unilateral screws group were better than unilateral screws and bone graft group(P<0. 01). Two groups of postoperative spinal cord function had recovered. No significant loss of correction degree was found during the follow-up period. The breakage of implants and loosing of pedicle screws did not occur. No significant difference was found be-tween the two groups in the compression rate of vertebrae and Cobb angle. Significant difference was found between the two groups in the mid-height of the injured vertebrae(P<0. 01). No significant difference was found between the two groups in the effective treatment(P>0. 05). Conclusions For patients without posterior spinal canal decompression, simple short segmental injury vertebral unilateral transpedicular fixation can achieve satisfactory therapeutic effect, ver-tebral body bone graft is not advocated.关键词
胸腰椎骨折/单侧置钉/植骨Key words
thoracolumbar fracture/unilateral fixation/bone graft分类
医药卫生引用本文复制引用
齐志远,陈秀民,王在斌,姜志圣,李广彬,韩鹏..伤椎置钉与伤椎置钉结合植骨治疗胸腰椎压缩性骨折的比较[J].临床骨科杂志,2015,18(6):641-644,648,5.基金项目
濮阳市科技攻关项目 (编号:130638) （编号:130638）
