临床骨科杂志2024，Vol.27Issue(6)：765-768,4.DOI:10.3969/j.issn.1008-0287.2024.06.002
两种术式治疗胸腰椎骨折的疗效比较
Comparison efficacy of two methods for treatment of femoral thoracolumbar fractures
何涛 1侯绍平 1汪军 1吕国荣 1宋晓飞 1田龙 1胡萌1
作者信息
- 1. 阆中市人民医院(川北医学院附属阆中医院)骨科,四川 阆中 637400
- 折叠
摘要
Abstract
Objective To compare the efficacy of open reduction and minimally invasive percutaneous pedicle screw fixation in the treatment of thoracolumbar fracture.Methods The 80 patients with thoracolumbar fractures were di-vided into open group(40 cases were treated with open reduction pedicle screw internal fixation)and percutaneous group(40 cases were adopted with minimally invasive percutaneous pedicle screw internal fixation),according to dif-ferent surgical methods.The surgical status,pain VAS,the anterior margin height ratio and Cobb angle of injured ver-tebra and complications were compared between the two groups.Results All patients were followed up for 12～15 months.Incision length,operation time,intraoperative blood loss,postoperative walking on ground time,hospitalization time:The data of percutaneous group were shorter(less)than those in open group(P＜0.05).There was no statistical difference in the intraoperative fluoroscopy frequency between two groups(P＞0.05).Pain VAS:At1 d,1 week,1 month after operation,percutaneous group was lower than open group(P＜0.05);at 12 months after surgery,there was no statistical difference between the two groups(P＞0.05).The ratio of anterior margin height and Cobb angle of injured vertebrae:At 1 week after surgery,the data of percutaneous group were better than those in open group(P＜0.05),and there were no statistical differences between the two groups at 12 months after surgery(P＞0.05).The in-cidence of postoperative complications in percutaneous group was lower than that in open group(P＜0.05).Conclu-sions In the treatment of thoracolumbar fracture,minimally invasive percutaneous pedicle screw internal fixation is superior to open reduction pedicle screw internal fixation,with small incision,less trauma,light pain,faster recovery,and better clinical effect.关键词
胸腰椎骨折/微创经皮椎弓根螺钉内固定/切开复位椎弓根螺钉内固定Key words
thoracolumbar fractures/minimally invasive percutaneous pedicle screw internal fixation/open reduction pedicle screw internal fixation分类
医药卫生引用本文复制引用
何涛,侯绍平,汪军,吕国荣,宋晓飞,田龙,胡萌..两种术式治疗胸腰椎骨折的疗效比较[J].临床骨科杂志,2024,27(6):765-768,4.
