經(jīng)傷椎椎弓根自體骨植骨聯(lián)合螺釘內(nèi)固定術(shù)治療腰椎壓縮性骨折的臨床療效分析

[摘要] 目的 為有效治療腰椎壓縮性骨折，臨床探究螺釘內(nèi)固定、椎弓根自體骨植骨聯(lián)合用于疾病治療的可行性、優(yōu)越性。方法 方便選取2012年5月—2015年6月期間期間該院經(jīng)診斷為胸腰壓縮性骨折入院治療的80例患者，按雙盲法隨機(jī)分為兩組，包括對(duì)照組40例、治療組40例。對(duì)照組椎弓根釘內(nèi)固定，治療組采用螺釘內(nèi)固定、椎弓根自體骨植骨聯(lián)合治療，對(duì)比兩組患者椎體高度、Cobb's 角恢復(fù)情況，同時(shí)對(duì)術(shù)后并發(fā)癥情況進(jìn)行統(tǒng)計(jì)比較。 結(jié)果 3年后對(duì)照組較治療組椎體高度丟失嚴(yán)重、Cobb's 角增加，P<0.05；治療組發(fā)生率為5.0%，對(duì)照組并發(fā)癥發(fā)生率為17.5%，對(duì)照組較治療組術(shù)后并發(fā)癥多，P<0.05。結(jié)論 對(duì)腰椎壓縮性骨折為確保其短期、長(zhǎng)期治療效果，避免椎體高度丟失，臨床可選擇螺釘內(nèi)固定、椎弓根自體骨植骨聯(lián)合用于疾病治療。Curative effect analysis

[關(guān)鍵詞] 腰椎壓縮性骨折；椎體高度；椎弓根自體骨植骨

[中圖分類號(hào)] R687 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2016）11（c）-0069-03

[Abstract] Objective To effectively cure the patients with lumbar vertebral compression fracture and explore the feasibility and advantages of screw fixation technique combined with transpedicular auto-bone graft. Methods Convenient selection 80 patients with lumbar vertebral compression fracture treated from May 2012 to June 2015 in our hospital were selected. The subjects were randomly divided into two groups， 40 cases each group. The control group adopted the pedicle screw fixation； the treatment group adopted the screw fixation technique combined with transpedicular auto-bone graft. The vertebral height， Cobb's angle and complications for two groups were compared.Results After 3years of surgery， the vertebral height and Cobb's angle for control group was worse than treatment group （P<0.05）； the incidence rate of complications for treatment group （5.0%） was lower than that of control group （17.5%） （P<0.05）.Conclusion For patients with lumbar vertebral compression fracture， the screw fixation technique combined with transpedicular auto-bone graft can guarantee the short-term and long-term treatment effect and avoid the loss of vertebral height.

[Key words] Lumbar vertebral compression fracture；Vertebral height； Transpedicular auto-bone graft

腰椎壓縮性骨折是臨床常見骨折類型，骨質(zhì)疏松、意外、墜落、跌倒等均是疾病產(chǎn)生常見因素，其中老年人多因骨質(zhì)疏松致病，而中青年人多因外傷導(dǎo)致，患者臨床多表現(xiàn)為劇烈疼痛，日常活動(dòng)動(dòng)嚴(yán)重受限[1-2]。微創(chuàng)椎弓根釘內(nèi)固定是目前臨床治療效果較好的手術(shù)治療方式，但近幾年臨床發(fā)現(xiàn)此方式能恢復(fù)椎體高度，但椎體內(nèi)骨小梁支架結(jié)構(gòu)未恢復(fù)，遠(yuǎn)期易出現(xiàn)椎體高度丟失、塌陷等情況。該次臨床對(duì)該院2012年5月—2015年6月期間收治的80例胸腰壓縮性骨折患者，觀察螺釘內(nèi)固定、椎弓根自體骨植骨聯(lián)合用于疾病治療的可行性、優(yōu)越性，發(fā)現(xiàn)患者遠(yuǎn)期療效良好，現(xiàn)報(bào)道如下。……