中国现代手术学杂志2017，Vol.21Issue(6)：423-427,5.DOI:10.16260/j.cnki.1009-2188.2017.06.007
经后外单侧入路手术治疗胸腰椎爆裂性骨折的临床疗效观察
Clinical Observation of the Treatment of Thoracolumbar Burst Fractures with Posterior Unilateral Approach
摘要
Abstract
Objective To explore the clinical effects of posterior unilateral approach in subtotal vertebrectomy,bone graft fusion and pedicle screw fixation for the treatment of thoracolumbar burst fractures.Methods From January 2014 to March 2016,41 cases of Denis B thoracolumbar burst fractures were selected.According to the different surgical methods,the patients were divided into two groups.The posterior unilateral approach group (group A,n =23) was treated by the posterior unilateral approach,subtotal vertebrectomy,bone graft fusion and pedicle screw fixation.The lateral anterior approach group (group B,n =18) was treated with the lateral anterior approach.The clinical results of the two groups were compared retrospectively.Results ①There was no significant difference in operative time,the amount of bleeding and postoperative drainage between the two groups (P ＞ 0.05).② Both the two groups after 1 week got the Cobb angle improved significantly comparing with preoperative one (P ＜ 0.05),and the 1-year postoperative Cobb angle of group A was lower than that of group B (P ＜ 0.05).③In both groups,the postoperative ASIA grading was better than before (P ＜ 0.05);But there was no significant difference between the two groups (P ＞ 0.05).④The clinical total effective rate was 95.65 ％ of group A,which was significantly better than 72.22％ of group B (P ＜ 0.05).Conclusion In the treatment of thoracolumbar burst fractures,it is proved to be efficacy of the posterior unilateral approach in the treatment of vertebral subtotal resection,bone fusion and pedicle screw fixation,with better postoperative Cobb angle improvement.It is worthy of clinical promotion.关键词
脊柱骨折/后外单侧入路/侧前方入路Key words
spinal fractures/posterior lateral approach/lateral anterior approach分类
医药卫生引用本文复制引用
雷剑飞,雷黎力,覃卫常,陈焕诗,任忠亮..经后外单侧入路手术治疗胸腰椎爆裂性骨折的临床疗效观察[J].中国现代手术学杂志,2017,21(6):423-427,5.基金项目
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(合同号Z20170016) （合同号Z20170016）
