长春中医药大学学报2016，Vol.32Issue(2)：358-359,2.DOI:10.13463/j.cnki.cczyy.2016.02.049
椎旁肌肌间隙入路联合伤椎椎弓根螺钉内固定治疗无神经损伤胸腰椎骨折
Paraspinal approach in combined with pedicle screw fixation treatment of thoracolumbar vertebral fracture with no nerve damage
摘要
Abstract
Objective To observe the efficacy of paraspinal approach in combined with pedicle screw fixation in the treatment of thoracolumbar vertebral fracture with no nerve damage. Methods A total of 13 patients with single segmental thoracolumbar vertebral fracture were treated with paraspinal approach in combined with pedicle screw fixa-tion. The postoperative injured vertebral sagittal plane Cobb angle,the injured vertebral front edge height,pain,spinal function,and complications were observed. Results The operations were successful. One -year follow up visit was paid to all the patients. The wounds were healed at the first grade. The postoperative injured vertebral sagittal plane Cobb angle was significantly lessened when compared with before operation( P ﹤0 . 05 ). The postoperative injured vertebral front edge height was significantly increased when compared with before operation( P﹤0 . 05 ). The postoper-ative VAS score and ODI were significantly reduced when compared with before operation( P﹤0 . 05 ). No complica-tions of infection,and internal fixation loosening or breaking were occurred. Conclusion The paraspinal approach in combined with pedicle screw fixation can effectively correct the injured vertebral front edge height of single segmental thoracolumbar vertebral fracture,and rectify the kyphosis,with less adverse reactions.关键词
脊柱骨折/胸椎/腰椎/椎弓根螺钉/内固定Key words
spinal fracture/thoracic vertebrae/lumbar vertebrae/pedicle screw/internal fixation分类
医药卫生引用本文复制引用
卢苇,杨飞,哈秀民,曹国栋,许艳春..椎旁肌肌间隙入路联合伤椎椎弓根螺钉内固定治疗无神经损伤胸腰椎骨折[J].长春中医药大学学报,2016,32(2):358-359,2.基金项目
北京军区医疗成果项目（2009229）。 （）
