临床骨科杂志2016，Vol.19Issue(3)：262-265,4.DOI:10.3969/j.issn.1008-0287.2016.03.002
经皮单平面椎弓根螺钉与开放椎弓根螺钉治疗胸腰椎骨折疗效比较
The efficacy comparison of percutaneous monoaxial screw and open treatment for treatment ;of thoracolumbar fractures with pedicle screw system
摘要
Abstract
Objective To compare the mid term clinical efficacy between minimally invasive percutaneous monoaxial pedicle screw fixation and traditional open pedicle screw fixation in the treatment of thoracolumbar fracture .Methods Seventy-six patients with thoracolumbar fractures were divided into two groups according to treatment methods .For-ty-two patients were treated by minimally invasive percutaneous monoaxial pedicle screw fixation combined with in -jured vertebral screw fixation .In the other group , a total of 34 patients of thoracolumbar fractures were treated in open surgery by implanting polyaxial screw in the injured vertebra , and fixed screws were put into vertebraes superior and inferior to the injured vertebra .The perioperative related indexes of two groups were compared , and the radiographic parameters and the improvement of pain in the waist and back were compared .Results All patients were followed up for 20~44 months.There were significant differences in the volume of bleeding ,length of incision (P<0.05),and There were significant differences in the Cobb angle , sagittal index , and injured vertebral anterior height which were compared in preoperative and postoperative image ( P<0.05 ) .There were significant differences which were com-pared in preoperative and the last follow-up (P<0.05).There was no statistically significant difference between the two groups at the same time(P>0.05).The pain relief was more obvious than the traditional open group ,3 days after surgery(P<0.05); at the last follow-up, there was no significant difference between the two groups (P>0.05). Conclusions The clinical efficacy of percutaneous monoaxial screw fixation in the treatment of thoracolumbar frac -tures is comparable with the traditional open surgery , and less trauma .关键词
胸腰椎骨折/椎弓根螺钉/外科手术,微创性Key words
thoracolumbar fractures/pedicle screw/surgical procedures ,minimally invasive分类
医药卫生引用本文复制引用
邱大权,张文志,李旭,段丽群,贺瑞,唐康..经皮单平面椎弓根螺钉与开放椎弓根螺钉治疗胸腰椎骨折疗效比较[J].临床骨科杂志,2016,19(3):262-265,4.基金项目
安徽省2013年度重点科研项目 （）
