局解手术学杂志2017，Vol.26Issue(1)：22-25,4.DOI:10.11659/jjssx.08E016039
伤椎单侧后路短节段内固定术治疗胸腰椎骨折
Unilateral short-segment pedicle screw fixation for treatment of thoracolumbar fractures
摘要
Abstract
Objective To assess the operation results of unilateral and bilateral short-segment pedicle screw fixation combined with in-termediate screws in thoracolumbar fractures .Methods A total of 73 patients with thoracolumbar fracture were included in our study .Among the 73 patients, 48 cases were treated by bilateral short-segment pedicle screw fixation and the other 25 cases were treated by unilateral short-segment pedicle screw fixation,with a mean follow-up of 24.6 months.Surgical time,surgical blood loss,surgical draining loss,hospital stays, hospitalization cost,Cobb’s angle,kyphosis of the vertebral body ,anterior height of the fracture vertebral body ,VAS and ODI scores between the two groups were compared .Results There were significant differences in the surgical time and hospitalization cost between two groups (P<0.01).The differences in the Cobb’s angle,kyphosis of the vertebral body, and anterior height of the fracture vertebral body before and after surgery between two groups were all significant (P<0.05).There was no significant difference in the loss of the correction at the last fol-low-up between the two groups(P>0.05).Conclusion Unilateral short-segment pedicle screw fixation combined with intermediate screws can significantly correct the kyphosis and achieve the clinical effect of bilateral short -segment pedicle screw fixation technique .Meanwhile , the unilateral short-segment pedicle screw fixation technique can significantly reduce the surgical time and hospitalization cost ,which is an ef-fective method for thoracolumbar fracture .关键词
脊柱/胸腰椎骨折/椎弓根螺钉/伤椎固定/单侧/双侧Key words
spine/thoracolumbar fractures/pedicle screw/fractured vertebra fixation/unilateral/bilateral分类
医药卫生引用本文复制引用
王兴斌,王洪伟,陈语,于海龙,王琪,刘军..伤椎单侧后路短节段内固定术治疗胸腰椎骨折[J].局解手术学杂志,2017,26(1):22-25,4.基金项目
机器人学国家重点实验室开放课题（2014-012）；美捷登青年科学家研究基金课题（ MJR20150013）；中国贫血临床诊疗青年医师科研基金课题（ LIM-SS-16001）；辽宁省博士科研启动基金课题 （）
