川北医学院学报2025，Vol.40Issue(4)：484-487,509,5.DOI:10.3969/j.issn.1005-3697.2025.04.018
三种入路方式置入椎弓根螺钉治疗单节段胸腰椎骨折患者的围术期指标和预后比较
Comparative study of perioperative indexes and prognosis for three differ-ent approaches in treating patients with single-segment thoracolumbar frac-ture
摘要
Abstract
Objective:To explore the effects of pedicle screw placement through posterior median approach,Wiltse intermuscular space approach and percutaneous approach on perioperative indexes and prognosis in patients with single-segment thoracolumbar frac-ture.Methods:According to different surgical methods,90 patients with single-segment thoracolumbar fracture in the hospital were di-vided into posterior median approach group(n=34),Wiltse approach group(n=28)and percutaneous approach group(n=28).The perioperative indexes,bone metabolism indexes,serum muscle enzymes,thoracolumbar recovery and postoperative complications were compared among the three groups.Results:In Wiltse approach group,percutaneous approach group and posterior median approach group,operation time,length of hospital stay and incision length were gradually increased(P＜0.05).At 48 h after surgery,levels of osteocalcin(OC),osteoprotegerin(OPG)and procollagen type Ⅰ N-terminal propeptid(PINP)were gradually decreased in Wiltse ap-proach group,percutaneous approach group and posterior median approach group(P＜0.05).The levels of serum creatine kinase in Wiltse approach group and percutaneous approach group was lower than that in posterior median approach group(P＜0.05).At 3 months and 1 year after surgery,Wiltse approach group had the best recovery effect on thoracolumbar spine(P＜0.05).There was no significant difference in the total incidence of postoperative complications among the three groups(P＞0.05).Conclusion:Among the three methods,curative effect of Wiltse intermuscular space approach is better in single-segment thoracolumbar fracture,with low inci-dence of complications.关键词
后正中入路/Wiltse肌间隙入路/经皮入路/胸腰椎骨折/围术期指标Key words
Posterior median approach/Wiltse intermuscular space approach/Percutaneous approach/Thoracolumbar fracture/Perioperative index分类
医药卫生引用本文复制引用
孙治邦,邵松..三种入路方式置入椎弓根螺钉治疗单节段胸腰椎骨折患者的围术期指标和预后比较[J].川北医学院学报,2025,40(4):484-487,509,5.基金项目
安徽省高校自然科学研究重点项目(KJ2021ZD0035) （KJ2021ZD0035）
