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胸腰椎爆裂骨折三种后路术式的临床疗效
引用本文:迟晓飞,姜泳,赵钢,王坤,应凯.胸腰椎爆裂骨折三种后路术式的临床疗效[J].中国医药导报,2011,8(1):40-41.
作者姓名:迟晓飞  姜泳  赵钢  王坤  应凯
作者单位:大连市骨科医院脊柱外二科,辽宁大连,116011
摘    要:目的:比较三种后路术式治疗胸椎爆裂骨折的疗效。方法:对82例胸腰椎爆裂骨折患者采用经骨折伤椎椎弓根置钉的六钉固定法、经骨折伤柞椎弓根置钉的四钉短节段同定法和传统的跨伤椎四钉固定法治疗.分别从伤椎前缘压缩比、矢状面Cobb角对比三种术式的治疗效果。结果:三种方法术前、术后伤椎前缘压缩比、矢状而Cobb角差异均有统计学意义(均P〈0.01),而经伤椎椎弓根置钉的六钉固定法和经骨折伤椎椎弓根置钉的四钉短节段固定法与传统的跨伤椎四钉同定法比较,差异有统计学意义(P〈0.01),但前二者之间差异无统计学意义(P〉0.05)。结论:经伤椎椎弓根置钉的六钉同定法、经骨折伤椎椎弓根置钉的四钉短节段同定法治疗胸腰椎爆裂骨折疗效优于传统的跨伤椎四钉固定法,而经骨折伤椎椎弓根置钉的四钉短节段同定法更优于经伤椎椎弓根置钉的六钉同定法,但适应证有限.

关 键 词:胸腰椎爆裂骨折  后路术式  伤椎前缘压缩比  矢状面Cobb角

Clinical efficacy of posterior route three surgical methods for thoracolumbar burst fractures
CHI Xiaofei,JIANG Yong,ZHAO Gang,WANG Kun,YING Kai.Clinical efficacy of posterior route three surgical methods for thoracolumbar burst fractures[J].China Medical Herald,2011,8(1):40-41.
Authors:CHI Xiaofei  JIANG Yong  ZHAO Gang  WANG Kun  YING Kai
Institution:CHI Xiaofei,JIANG Yong,ZHAO Gang,WANG Kun,YING Kai (The Second Department of Spine Surgery,Dalian Orthopaedics Hospital,Dalian 116011,China)
Abstract:Objective: To evaluate the clinical efficacy of posterior route three surgical methods for thoraeolumbar burst fractures. Methods: 82 patients with thoracolumbar burst fracture were included in this study, they were treated by six and four vertebral pedicle screw fixation on fractured vertebra and traditional four pedicle screw. All the patients were divided into three groups. Three groups were comparatively analyzed from two aspects, that was fractured vertebra height compression ratio and the Cobb's angle on sagittal plane before and after surgery. Results: The fractured vertebra height compression ratio and the Cobb's angle on sagittal plane before and after surgery in three methods, there were significant differences (all P〈0.01 ), and six pedicle screw group and four pedicle screw fixation on fractured vertebrae compared to the traditional four pedicle screw group bad significant differences (P〈0.01), but the two groups had no significant difference (P〉0.05). Conclusion: Six and four vertebral pedicle screw fixation on fractured vertebra is safe, effective and therapeutic options to the thoracolumbar burst fractures. And four vertebral pedicle screw fixation on fractured vertebra is better than six vertebral pedicle screw fixation on fractured vertebra, but adaptation of four vertebral pedicle screw fixation on fractured vertebra is limited.
Keywords:Thoracolumbar burst fracture  Posterior route surgical methods  Fractured vertebra height compression ratio  The Cobb's angle on sagittal plane
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