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手术治疗胸腰椎多节段脊柱骨折疗效及安全性评价
引用本文:张征乾. 手术治疗胸腰椎多节段脊柱骨折疗效及安全性评价[J]. 中外医疗, 2016, 0(18): 41-42. DOI: 10.16662/j.cnki.1674-0742.2016.18.041
作者姓名:张征乾
作者单位:河南省鹤煤总医院骨科,河南鹤壁,458030
摘    要:目的:探讨胸腰椎多节段脊柱骨折手术治疗疗效及安全性。方法随机选该院2014年4月—2015年9月收治的胸腰椎多节段脊柱骨折患者93例,分为对照组和观察组,观察组患者行后路手术,对照组采取前路手术,对比患者有效率。结果对照组术后椎体前缘高度达(23.27±4.13)mm,后凸角高度为(17.63±2.79)°;观察组后凸角高度(5.34±3.07)mm,椎体前缘高度(32.15±4.06)°,观察组术后改善情况、有效率明显优于对照组,P﹤0.05。结论脊椎前路手术可以很好地改善患者的后凸角与椎体前缘高度,有效的减轻了椎体的压力,并具有较好地固定作用。

关 键 词:手术治疗  胸腰椎多节段脊柱骨折

Thoracolumbar Spine Fracture Surgery Evaluation
Abstract:Objective To explore the thoracolumbar spine fracture surgical treatment efficacy and safety. Methods Random-ly selected from our hospital in April 2014 and 2015 September were in multi segmental lumbar spinal fracture 93 patients, divided into the observation group and the control group, observation group were treated with posterior surgery, the control group adopted anterior surgery, efficiency were compared. Results In the control group after operation of anterior vertebral height of (23.27±4.13) mm, kyphosis angle height is (17.63±2.79) degrees; observation group lobe height (5.34±307) mm. The anterior vertebral body height (32.15±4.06) Degrees, the patients in the observation group after improvement, efficiency is obviously superior to the control group, P﹤ 0.05. Conclusion Anterior spinal surgery can well improve the patient after the Cobb angle and the anterior vertebral height, effectively reduce the pressure of the vertebral bodies, and has a better fixation effect. The tension.
Keywords:Surgical treatment  Thoracic and lumbar spine fractures
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