经皮微创和传统开放椎弓根钉棒内固定术治疗胸腰椎骨折疗效比较

目的:探讨经皮微创椎弓根钉棒内固定术治疗胸腰椎骨折的疗效.方法:胸腰椎骨折病人98例,根据手术方法分为观察组与对照组,其中对照组52例,应用传统开放椎弓根钉棒内固定术治疗,观察组46例,应用经皮微创椎弓根钉棒内固定术治疗.对比分析2组病人的术后疗效.结果:观察组手术时间、切口长度、术中出血量、术后引流量及术后1d疼痛视觉模拟评分均明显低于对照组(P<0.01),而2组病人伤椎前缘高度百分比和术前、术后1周及术后1年矢状面后凸Cobb角和Oswestry功能障碍指数差异均无统计学意义(P>0.05).结论:经皮微创椎弓根钉棒内固定术治疗胸腰椎骨折病人术后疗效肯定,具有创伤小、术后恢复快、疼痛轻等优势,值得临床进一步推广应用.

Efficacy comparison between percutaneous minimally invasive and conventional opening pedicle screw rod internal fixation in the treatment of thoracolumbar fractures

Objective:To investigate the efficacy of the percutaneous minimally invasive pedicle screw rod internal fixation in the treatment of thoracolumbar fractures. Methods:Ninety-eight patients with thoracolumbar fractures were divided into the observation group and control group,were treated with percutaneous minimally invasive and traditional opening pedicle screw rod internal fixation, respectively. The curative effects between two groups were compared. Results:The operation time, incision length, bleeding volume, postoperative drainage volume and postoperative visual analogue scale 1 day score in observation group were significantly less than those in control group(P<0. 01). The differences of the percentage of vertebral anterior height,postoperative 1 week and 1 year sagittal plane Cobb angle,and Oswestry disability index between two groups were not statistically significant(P > 0. 05). Conclusions:The percutaneous minimally invasive pedicle screw rod internal fixation in the treatment of thoracolumbar fractures is effective,which is less trauma,quick recovery and light pain,and worthy of clinical application