生物骨科材料与临床研究2018，Vol.15Issue(1)：48-51,4.DOI:10.3969/j.issn.1672-5972.2018.01.012
短节段与长节段椎弓根螺钉治疗骨质疏松性腰椎骨折的疗效分析
Comparison of short-segment and long-segment pedicle screw fixation for elderly patients with Lumbar fractures
摘要
Abstract
Objective To evaluate the effect of the short-segment pedicle screw and the long-segment pedicle screw fixation for elderly patients in the osteoporotic of Lumbar fractures.Methods 56 cases of Lumbar fractures were treated with the short-segment pedicle screw and the long-segment pedicle screw from Ju12012 to May 2015.They were 20 men and 36 women aged from 55 to 70 years (average,62.7 years).According to the ways of treatment,they were treated with short-segment pedicle screw (26 patients) and long-segment pedicle screw (30 patients).All patients were assessed from time of operation,blood loss,anterior vertebral compression rate and Cobb angle between the two groups after fixation,to evaluate the effect of clinical results and functional recovery.Results The patients were followed up for average 18 months (range,12 to 24 months).All patients did not have infection,no reduction loss.There was no significant difference in anterior vertebral compression rate and Cobb angle between the two groups before fixation (P＞0.05).Compared with long-segment pedicle screw group,patientsofshort-segmentpediclescrewhadfewertimeofoperation,blood loss with significant differences (P＜0.05).There was no significant difference in anterior vertebral compression rate and Cobb angle between the two groups after three months of operation (P＞0.05).Conclusion The use of short-segment pedicle screw and the long-segment pedicle screw have recovery of anterior vertebral compression and Cobb angle.But the use of short-segment pedicle screw can have short time of operation and less blood loss,so in the treatment of elderly can consider options short-segment pedicle screw fixation.关键词
骨质疏松/腰椎骨折/短节段/长节段/椎弓根螺钉Key words
Osteoporosis/Lumbar fracture/Short-segment/Long-segment/Pedicle screw fixation分类
医药卫生引用本文复制引用
杜科伟,李自强,姚斌,姚毅勇,刘嘉,陆国强,陈维华..短节段与长节段椎弓根螺钉治疗骨质疏松性腰椎骨折的疗效分析[J].生物骨科材料与临床研究,2018,15(1):48-51,4.基金项目
上海市骨科内植物重点实验室开放课题(KFKT2014003) （KFKT2014003）
