中国组织工程研究2017，Vol.21Issue(35)：5733-5740,8.DOI:10.3969/j.issn.2095-4344.2017.35.026
联合骨折椎体置钉与短节段椎弓根螺钉内固定治疗胸腰椎单个椎体骨折的Meta分析
Injured vertebra pedicle screww fixation versus short-segment pedicle instrumentation for thoracolumbar fracture:a meta-analysis
莫凌 1林顺鑫 2梁德 1张顺聪 1杨志东 1崔健超 1江晓兵 1晋大祥1
作者信息
- 1. 广州中医药大学第一附属医院脊柱骨科,广东省广州市510405
- 2. 肇庆市高要人民医院骨科,广东省肇庆市 526000
- 折叠
摘要
Abstract
BACKGROUND: Posterior internal fixation is one of the most common methods for thoracolumbar fractures. There is a lack of systematic evaluation about the efficacy of injured vertebra pedicle screw fixation(IVPSF)versus short-segment pedicle instrumentation (SSPI) for thoracolumbar fracture. OBJECTIVE: To compare the clinical outcomes of IVPSF and SSPI for single thoracolumbar fracture through a METHODS: A computer-based on-line research of PubMed, Medline, Embase, Cochrane Library, CNKI, and WanFang databases was performed for the studies regarding IVPSF versus SSPI for thoracolumbar fracture from 1990 to 2016. meta-analysis. The randomized controlled trials and cohort studies were collected based on the strict criteria of inclusion and exclusion. A meta-analysis was conducted on Revman5.3 sofeware. RESULTS AND CONCLUSION: (1) Eleven articles were enrolled, including 5 English and 6 Chinese ones, involving 689 patients (328 cases for IVPSF and 361 cases for SSPI). (2) The meta-analysis indicated that the operation time, blood loss and mean hospital stay showed no significant differences between two groups. IVPSF showed more effective than SSPI in the kyphotic angle correction and anterior vertebral height recovery at postoperation and 1-5 years of follow-up. Moreover, the incidence of postoperative fixation failure in IVPSF was lower than that in SSPI. (3) These findings suggest that IVPSF that reduces the postoperative fixation failure rate for thoracolumbar fractures provides better kyphosis correction and restoration of anterior vertebral height at post-operation and 1-5 years of follow-up.关键词
骨科植入物/脊柱植入物/胸腰椎骨折/短节段/骨折节段/椎弓根螺钉内固定/伤椎置钉分类
医药卫生引用本文复制引用
莫凌,林顺鑫,梁德,张顺聪,杨志东,崔健超,江晓兵,晋大祥..联合骨折椎体置钉与短节段椎弓根螺钉内固定治疗胸腰椎单个椎体骨折的Meta分析[J].中国组织工程研究,2017,21(35):5733-5740,8.
