局解手术学杂志2018，Vol.27Issue(2)：132-135,4.DOI:10.11659/jjssx.11E017075
PVP联合经皮椎弓根螺钉内固定治疗胸腰椎骨折的临床疗效
Clinical curative effect of percutaneous vertebroplasty combined with percutaneous pedicle screw fixation for thoracolumbar fracture
摘要
Abstract
Objective To discuss the clinical curative effect of percutaneous vertebroplasty(PVP)combined with percutaneous pedicle screw fixation for thoracolumbar fracture.Methods Retrospectively analyzed the clinical data of 43 patients with thoracolumbar fracture who underwent PVP combined with percutaneous pedicle screw fixation in our hospital from November 2015 to June 2017.Those patients included 28 males and 15 females,and the age of patients ranged from 50 to 66 years old,with an average age of(58.26 ±3.67)years old.The func-tional outcome were evaluated by VAS scores and ODI scores before and after the operation.The sagittal Cobb angle was used to evaluate the reduction of fracture.Results All these patients all successfully completed the operation,and there was no complications after operation.The operation time ranged from 60 to 126 min,with an average time of(96.07 ±15.69)min;the blood loss ranged from 60 to 180 min,with an average time of(113.26 ±24.7)min.All the patients were followed up for 4 to 23 months,with an average time of(12.07 ±4.01)months. The VAS score,ODI score and sagittal Cobb angle were significantly decreased in the last follow -up period compared with those before surgery,and the difference was statistically significant(P<0.05).Conclusion PVP combined with percutaneous pedicle screw fixation in the treatment of thoracolumbar fracture has smaller incision,less blood loss,shorter operation time and better improvement of local pain,func-tional movement and kyphosis.关键词
经皮椎体成形术/经皮椎弓根螺钉内固定术/胸腰椎骨折Key words
percutaneous vertebroplasty/percutaneous pedicle screw fixation/thoracolumbar fracture分类
医药卫生引用本文复制引用
孙鹏飞,吴昊天,张昊聪,谢雁春,项良碧,于海龙..PVP联合经皮椎弓根螺钉内固定治疗胸腰椎骨折的临床疗效[J].局解手术学杂志,2018,27(2):132-135,4.基金项目
辽宁省自然科学基金(20170540958) （20170540958）
