岭南现代临床外科2024，Vol.24Issue(3)：187-192,6.DOI:10.3969/j.issn.1009-976X.2024.03.007
经皮与经肌间隙入路椎弓根螺钉内固定治疗单节段胸腰段AO A3型骨折的疗效对比
Comparison of clinical efficacy between percutaneous and wiltse approach for the internal fixa-tion of single-segment thoracolumbar AO Type A3 fractures
摘要
Abstract
Objective To compare the clinical efficacy of percutaneous and wiltse approach for the internal fixation of single-segment thoracolumbar AO Type A3 fractures.Methods A retrospective analysis was conducted on 74 patients with single-segment thoracolumbar Type A3 fractures treated at Jieyang People's Hospital from January 1,2021,to December 31,2022.The patients were divided into two groups based on different surgical methods:percutaneous screw fixation group(n=38)and transmuscular approach group(wiltse group,n=36).The clinical outcomes and radiological indicators of the two groups were compared.Results All cases were followed up for one year.There were no significant statistical differences in intraoperative blood loss,incision length,postoperative hospital stay,and hospitalization costs between the two groups.The surgical time for the percutaneous screw group was 121.6±19.4 min,while for the intermuscular interval group it was 91.7±19.3 min(P<0.05).The number of intraoperative radiation exposures for the percutaneous screw group(15.0±2.1)was higher than for the intermuscular interval group(5.1±1.1)(P<0.05).Both groups effectively improved vertebral angle,vertebral height,and clinical scores such as VAS,ODI after surgery.The wiltse group showed better results in vertebral angle and Cobb's angle(P<0.05).One case of poor incision healing occurred in the percutaneous screw group,and there were no serious complications in either group.Conclusion Both percutaneous and wiltse approach for pedicle screw internal fixation are effective in treating single-segment thoracolumbar AO Type A3 fractures.The wiltse group had fewer intraoperative radiation exposures,shorter surgical time,and better postoperative vertebral height recovery,making it more suitablefor use in primary hospitals.关键词
胸腰段骨折/经皮椎弓根螺钉内固定/经肌间隙入路椎弓根螺钉内固定/AO A3型骨折Key words
thoracolumbar fractures/percutaneous pedicle screw/wiltse approach/AO type A3 fractures分类
医药卫生引用本文复制引用
郑潮顺,陈太秋,郭跃跃,何旭辉,林懿辉,陈彬勇,林楚纯..经皮与经肌间隙入路椎弓根螺钉内固定治疗单节段胸腰段AO A3型骨折的疗效对比[J].岭南现代临床外科,2024,24(3):187-192,6.基金项目
2022揭阳市卫健局医学科学技术研究项目(NO.87) （NO.87）
