后路脊椎V型截骨术治疗创伤性脊柱后凸畸形的疗效观察

目的 观察后路脊椎V型截骨术治疗创伤性脊柱后凸畸形的临床疗效。方法 选取我院2017年2月~2018年1月收治的74例创伤性脊柱后凸畸形患者，36例实施常规手术治疗患者为对照组，38例实施后路脊椎V型截骨术治疗患者为研究组，对比两组患者治疗后Cobb角、并发症发生率以及复发率。结果 研究组患者治疗后Cobb角小于对照组，差异有统计学意义（P＜0.05）；研究组术后并发症发生率为5.26%，低于对照组的22.22%，研究组复发率为2.63%，低于对照组的16.67%，差异具有统计学意义（P＜0.05）。结论 后路脊椎V型截骨术治疗创伤性脊柱后凸畸形，临床效果确切，患者Cobb角改善明显，并发症、复发率低，可以作为重要治疗方法之一推广应用。

Observation on Curative Effect of Posterior Spinal V type Osteotomy for Traumatic Kyphosis

Abstract:Objective To observe the clinical effect of posterior spinal V type osteotomy for traumatic kyphosis.Methods 74 patients with traumatic kyphosis treated in our hospital in February 2017 to January 2018 were selected,36 patients undergoing conventional surgical treatment as control group,38 patients with posterior spinal V type osteotomy as study group.The Cobb angle,complication rate and recurrence rate after treatment were compared between the two groups.Results The Cobb angle of the patients in the study group was lower than that in the control group,the difference was statistically significan(P<0.05).The incidence of postoperative complications in the study group was 5.26%,which was lower than that in the control group 22.22%.The recurrence rate in the study group was 2.63% which was lower than that in the control group 16.67%,the difference was statistically significant(P<0.05).Conclusion The treatment of traumatic kyphosis by posterior spinal V type osteotomy is effective,the Cobb angle is improved obviously,the complication is low,and the recurrence rate is low.It can be used as one of the important treatment methods.