湖南中医药大学学报2016，Vol.36Issue(11)：76-79,4.DOI:10.3969/j.issn.1674-070X.2016.11.020
后路椎弓根螺钉内固定结合椎体成形术治疗中老年胸腰椎爆裂性骨折30例
30 Cases of Elderly Thoracolumbar Bursting Fractures Treated with Posterior Pediele Screw Fixation and Vertebroplasty
摘要
Abstract
Objective To explore the clinical efficacy and complications of elderly thoracolumbar bursting fractures treated with posterior pediele screw fixation and vertebroplasty. Methods Thirty cases of elderly thoracolumbar bursting fractures were collected. The pedicle screw fixation and vertebroplasty after menstruation were adopted. The complications such as reduction, cements, breakage and looseness of internal fixation were observed. The vertebral heights of the anterior and posterior borders of vertebra and Cobb angle, as well as visual analogy score (VAS) before sugery, one week after surgery, one year after surgery were assessed statistically. Results No looseness and breakage of internal fixation, vertebral collapse after surgery were found. The ratios between the vertebral heights of the anterior and posterior borders of vertebra, Cobb angle and VAS after surgery were significantly different (P<0.05) compared with those before surgery. The ratios between the vertebral heights of the anterior and posterior borders of vertebra, Cobb angle and VAS at the moment of screw removal in 1 year of surgery were not statistically significant (P>0.05) compared with those 1 week after surgery. Conclusion The posterior pediele screw fixation and vertebroplasty in treating elderly thoracolumbar bursting fractures can reconstruct the stability, alleviate back pain, effectively decrease the complications of pediele screw fixation, achieve the definite efficacy.关键词
胸腰椎/爆裂性骨折/中老年/椎弓根钉/椎体成形术Key words
thoracolumbar spine/blowout fracture/elderly/posterior pediele screw fixation/vertebroplasty分类
医药卫生引用本文复制引用
肖清明,邵阳,朱国华..后路椎弓根螺钉内固定结合椎体成形术治疗中老年胸腰椎爆裂性骨折30例[J].湖南中医药大学学报,2016,36(11):76-79,4.基金项目
江苏省临床医学科技专项资助（BL2012004）。 （）
