临床骨科杂志2016，Vol.19Issue(5)：518-521,4.DOI:10.3969/j.issn.1008-0287.2016.05.003
微创经皮置钉技术治疗胸腰椎骨折的临床疗效
Clinical effects of minimal-invasive percutaneous pedicle screw fixation in management of ;thoracolumbar fractures
卢政好 1欧军 1苏小桃 1谭健 1何俊 1吴志良 1刘静男1
作者信息
- 1. 南华大学附属南华医院脊柱外科，湖南 衡阳 421002
- 折叠
摘要
Abstract
Objective To investigate the clinical effects of minimal-invasive percutaneous pedicle screw fixation ( MIPPSF) in management of thoracolumbar fractures. Methods Eighty-nine patients with single-segment thoraco-lumbar fractures were divided into two groups according to the operative methods:MIPPSF group(Group A,n=36) and open pedicle screw fixation(OPSF) group(Group B,n=53). The incision length,operative time,blood loss,VAS on the 3rd day postoperatively,the fractured vertebral height ratio and Cobb′s angle in 1 year postoperatively were compared between two groups. The internal fixation failure rate and Oswestry disability index( ODI) in 1 year postop-eratively were evaluated. Results All the cases had been followed up for 12~18 months. Group A had shorter inci-sion length and operative time,lower blood loss and VAS on the 3rd day postoperatively and there were significant difference compared with group B(P<0. 05). The fractured vertebral height ratio,Cobb′s angle,internal fixation fail-ure rate and ODI in 1 year postoperatively had no significant difference between the two groups(P>0. 05). Conclu-sions In management of thoracolumbar fractures,MIPPSF can be minimal injury,meanwhile it can achieve the simi-lar clinical effects with OPSF.关键词
经皮微创置钉/开放椎弓根螺钉内固定/胸腰椎骨折Key words
minimal-invasive percutaneous pedicle screw fixation/open pedicle screw fixation/thoracolumbar fracture分类
医药卫生引用本文复制引用
卢政好,欧军,苏小桃,谭健,何俊,吴志良,刘静男..微创经皮置钉技术治疗胸腰椎骨折的临床疗效[J].临床骨科杂志,2016,19(5):518-521,4.
