[摘要] 目的 為有效治療腰椎壓縮性骨折,臨床探究螺釘內固定、椎弓根自體骨植骨聯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,按雙盲法隨機分為兩組,包括對照組40例、治療組40例。對照組椎弓根釘內固定,治療組采用螺釘內固定、椎弓根自體骨植骨聯合治療,對比兩組患者椎體高度、Cobb's 角恢復情況,同時對術后并發(fā)癥情況進行統(tǒng)計比較。 結果 3年后對照組較治療組椎體高度丟失嚴重、Cobb's 角增加,P<0.05;治療組發(fā)生率為5.0%,對照組并發(fā)癥發(fā)生率為17.5%,對照組較治療組術后并發(fā)癥多,P<0.05。結論 對腰椎壓縮性骨折為確保其短期、長期治療效果,避免椎體高度丟失,臨床可選擇螺釘內固定、椎弓根自體骨植骨聯合用于疾病治療。Curative effect analysis
[關鍵詞] 腰椎壓縮性骨折;椎體高度;椎弓根自體骨植骨
[中圖分類號] R687 [文獻標識碼] A [文章編號] 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,骨質疏松、意外、墜落、跌倒等均是疾病產生常見因素,其中老年人多因骨質疏松致病,而中青年人多因外傷導致,患者臨床多表現為劇烈疼痛,日常活動動嚴重受限[1-2]。微創(chuàng)椎弓根釘內固定是目前臨床治療效果較好的手術治療方式,但近幾年臨床發(fā)現此方式能恢復椎體高度,但椎體內骨小梁支架結構未恢復,遠期易出現椎體高度丟失、塌陷等情況。該次臨床對該院2012年5月—2015年6月期間收治的80例胸腰壓縮性骨折患者,觀察螺釘內固定、椎弓根自體骨植骨聯合用于疾病治療的可行性、優(yōu)越性,發(fā)現患者遠期療效良好,現報道如下。……