| 杨参,周业金,江渟.经伤椎单、双侧置钉治疗单节段胸腰椎骨折的临床疗效比较.骨科,2018,9(4): 274-278. |
| 经伤椎单、双侧置钉治疗单节段胸腰椎骨折的临床疗效比较 |
| Clinical effectiveness of unilateral vs. bilateral pedical screw fixation in the treatment of single segment thoracolumbar fractures |
| 投稿时间：2018-01-02 |
| DOI：10.3969/j.issn.1674-8573.2018.04.004 |
| 中文关键词: 胸椎 腰椎 脊柱骨折 脊柱融合术 疗效比较研究 |
| 英文关键词: Thoracic vertebrae Lumbar vertebrae Spinal fractures Spinal fusion Comparative effectiveness research |
| 基金项目: |
|
| 摘要点击次数: 4024 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 比较后路短节段经伤椎单、双侧置钉治疗单节段胸腰椎骨折的临床疗效。方法 2013年12月至2016年10月我科收治的30例胸腰椎单一椎体骨折病人根据伤椎椎弓根被破坏的情况分为两组。两组均采用经后路跨伤椎短节段固定，单侧组（18例）采用伤椎单侧置钉，双侧组（12例）采用伤椎双侧置钉。比较两组病人的手术时间、术中出血量、术前及术后伤椎前缘高度比及后凸角。结果 两组病人均获得随访，随访时间为12~24个月，平均16.6个月，所有病例均未出现内固定松动、断裂等情况。两组间手术时间、术中出血量比较，差异均无统计学意义（P均＞0.05）。两组病人术后1周和1年的伤椎前缘高度比、后凸角均优于术前，差异均有统计学意义（P均＜0.05），但两组间各观察点的数值比较，差异均无统计学意义（P均＞0.05）。结论 经后路短节段固定联合伤椎单钉置入与双钉置入均为治疗胸腰椎骨折的有效手段。 |
| 英文摘要: |
| Objective To compare the clinical effectiveness of unilateral vs. bilateral pedical screw fixation in the treatment of single segment thoracolumbar fractures. Methods From December 2013 to October 2016, we collected 30 cases of single thoracolumbar fractures in our department, and all patients were divided into 2 groups according to the vertebral pedicle of injured vertebrae. All the cases accepted short posterior segment fixation. Eighteen cases in unilateral group were treated with unilateral transpedicular fixation, and 12 cases in bilateral group were treated with bilateral transpedicular fixation. The operation time, intraoperative blood loss, height ratio of vertebra anterior edge and kyphosis angle of vertebrae were compared. Results All patients were followed up for 12-24 months (average 16.6 months). No pedicle screw breakage or loosening occurred in all patients. There was no significant difference in the operation time, and intraoperative blood loss between the two groups. The height ratio of vertebra anterior edge and kyphosis at 1st week and 1st year after operation in the two groups were significantly superior to those preoperation (P＜0.05 for both), but there was no significant difference between the two groups (P＞0.05 for both). Conclusion Short posterior segment fixation on thoracolumbar fracture with unilateral or bilateral injured vertebra transpedicular fixation is effective. |
|
查看全文
下载PDF阅读器 |
| 关闭 |
