经皮椎弓根钉微创手术治疗脊柱骨折的临床效果及应用价值

目的:探讨经皮椎弓根钉微创手术治疗脊柱骨折的临床效果。方法:选取我院2017年2月-2019年2月收治的脊柱外伤患者80例为研究对象,根据手术方式不同分为观察组(经皮椎弓根钉微创术)和对照组(开放术)各40例。比较2组患者术中出血量、手术时间、术后引流量、术后下地时间,术后1周疼痛程度、功能障碍指数等手术情况,比较术前、术后3个月椎体高度和Cobb角。结果:观察组手术相关情况显著优于对照组(P<0.05),术后疼痛程度和功能障碍显著低于对照组(P<0.05),而术后椎体前缘相对高度和Cobb角2组患者无统计学差异(P>0.05)。结论:微创椎弓根钉术治疗脊柱骨折,可显著减少手术创伤,有助于患者术后快速康复,改善预后,值得推荐。

Clinical Effect and Value of Minimally Invasive Percutaneous Pedicle Screw Surgery for Spinal Fractures

Objective:To investigate the clinical effect of minimally invasive percutaneous pedicle screw surgery for spinal fractures.Methods:80 patients with spinal trauma admitted to our hospital from February 2017 to February 2019 were selected as research objects.Intraoperative blood loss,operation time,postoperative drainage volume,postoperative time to the ground,postoperative pain degree,functional disorder index and other operation conditions of the two groups were compared.Vertebral height and Cobb Angle were compared preoperatively and 3 months postoperatively.Results:The observation group was significantly better than the control group(P<0.05)in operation related conditions,postoperative pain and functional dysfunction was significantly lower than the control group(P<0.05),but there was no statistical difference between the two groups in postoperative vertebral body anterior relative height and Cobb Angle(P>0.05).Conclusion:Minimally invasive pedicle screw surgery for spinal fractures can significantly reduce surgical trauma,contribute to the rapid postoperative rehabilitation of patients,improve the prognosis,it is worth recommending。