河北医学2018，Vol.24Issue(3)：400-404,5.DOI:10.3969/j.issn.1006-6233.2018.03.013
Sextant微创经皮椎弓根螺钉内固定手术治疗中老年脊柱骨折的疗效及对患者生存质量的影响
Effect of Sextant Minimally Invasive Percutaneous Pedicle Screw Internal Fixation in Treating Middle-aged and Elderly Spinal Fractures and Its Impact on Quality of Life
摘要
Abstract
Objective:To study the effect of Sextant minimally invasive percutaneous pedicle screw in-ternal fixation in the treatment of middle-aged and elderly patients with spinal fractures and quality of life of patients,provide a reference for clinical treatment. Methods:86 cases of elderly patients with thoracolumbar spine fractures treated in our hospital from March 2012 to March 2017 were selected as the subjects of this study. According to the simple random method, all patients were divided into control group (n = 41) and study group (n = 45). The patients in the control group were treated with open pedicle screw internal fixa-tion,and the patients in the study group were treated with Sextant minimally invasive percutaneous pedicle screw internal fixation. The operation indexes,imaging indexes and quality of life of the two groups were com-pared between the two groups. Results:There was no significant difference in operative time between the two groups (P> 0.05). The bleeding volume and postoperative hospital stay in study group were lower than those in control group,with significant difference (P <0.05).The sagittal index of vertebral body and the height of the anterior vertebral body in the two groups were significantly higher than those in the control group,and the difference was statistically significant(P <0.05).The postoperative Cobb's angle of the two groups were lower than preoperative,and the study group was lower than the control group,the difference was statistically signifi-cant (P <0.05); The postoperative study group had higher physical function, emotional function, somatic pain,social function and overall health score than the control group (P <0.05). Conclusion: Sextant mini-mally invasive percutaneous pedicle screw fixation for the treatment of middle-aged and elderly spine fracture effect is significant,can effectively reduce the body injury,improve the patient's kyphosis angle and vertebral height,promote patient recovery and improve patient quality of life,it is worth clinical Promotion.关键词
Sextant微创经皮椎弓根螺钉内固定术/脊柱骨折/生存质量Key words
Sextant minimally invasive percutaneous pedicle screw fixation/Spinal fracture/Quality of life引用本文复制引用
王宇强,翟磊,苏学涛..Sextant微创经皮椎弓根螺钉内固定手术治疗中老年脊柱骨折的疗效及对患者生存质量的影响[J].河北医学,2018,24(3):400-404,5.基金项目
天津市科技计划项目,(编号:201402147) （编号:201402147）
