临床骨科杂志2017，Vol.20Issue(4)：406-409,4.DOI:10.3969/j.issn.1008-0287.2017.04.007
经伤椎单节段与跨伤椎短节段固定治疗胸腰段骨折的疗效比较
The effects comparison of vertebra single segment and across the injured vertebra short segment fixation for the treatment of thoracolumbar fractures
田学涛 1黄吉利1
作者信息
- 1. 江汉大学附属武汉市第六医院骨外科,湖北 武汉 430015
- 折叠
摘要
Abstract
Objective To compare the clinical effects between the injured vertebra single segment and across the injured vertebra short segment fixation for the treatment of Dennis type B thoracolumbar fractures.Methods The 46 patients with Dennis type B thoracolumbar fracture were treated with the injured vertebra single segment fixation (observation group,23 patients) and across the injured vertebra fixation of short segment (control group,23 patients),bleeding volume,operation time and the cost of hospitalization were compared,postoperative patients were observed Cobb angles and injuried verterbral anterior height by radiologic outcomes.Results The followed-up time ranged from 6 months to 36 months.The volume of intraoperative bleeding,operation time and hospitalization expenses of observation group was significantly lower than control group,the difference was statistically significant(P<0.01).The postoperation and last follow-up of Cobb angles and injuried verterbral anterior height had no significant differences in the two groups (P>0.05).Conclusions The vertebral single segment and across the injured vertebra short segment fixation can effectively restore the spinal column sequence,but the advantages of the injured vertebra fixation is cheap,minimally invasive,and has little effect on the adjacent segment disc degeneration,Dennis type B thoracolumbar fractures can be used as the preferred type of operation.关键词
胸腰椎骨折/单节段固定/短节段固定Key words
thoracolumbar fractures/single segment fixation/short segment fixation分类
医药卫生引用本文复制引用
田学涛,黄吉利..经伤椎单节段与跨伤椎短节段固定治疗胸腰段骨折的疗效比较[J].临床骨科杂志,2017,20(4):406-409,4.
