经前路与后路手术治疗胸腰段骨折伴脊髓损伤临床对比研究

目的研究分析经前路与后路手术治疗胸腰段骨折伴脊髓损伤的临床效果。方法选取2011年3月—2014年3月在该院确诊收治的100例胸腰段骨折伴脊髓损伤患者作为研究对象,在患者知情同意的情况下按数字随机分为对照组和观察组各50例。给予对照组患者前路手术治疗,而观察组患者给予后路手术治疗。术后对患者的具体情况进行随访,观察两组患者的Frankel脊髓损伤分级、脊柱畸形角的矫正情况,并作对比分析。结果研究结果显示,两组患者在Frankel脊髓损伤分级方面治疗前后比较,差异有统计学意义（P〈0.05）,组间比较差异无统计学意义（P〉0.05）;两组患者在脊柱畸形角的矫正情况上治疗前后差异有统计学意义（P〈0.05）,组间比较差异无统计学意义（P〉0.05）。结论给予胸腰段骨折伴脊髓损伤患者前路与后路手术治疗方法均具有较高的临床应用价值,疗效显著,能够有效矫正患者脊柱骨折后畸形,改善患者神经功能,值得临床大力推广。

Clinical Comparative Study of the Effect Between Anterior and Posterior Surgical Treatment for Thoracolumbar Fracture with Spinal Cord Injury

Objective To study and analyze the clinical effects of anterior and posterior surgical treatments for thoracolumbar fracture with spinal cord injury. Methods 100 cases confirmedly diagnosed with thoracolumbar fracture with spinal cord injury in our hospital from March 2011 to March 2014 were selected as the subjects, and randomly divided into the control group and the observation group with 50 cases in each in the case of informed consent. The control group was given the anterior surgery, and the observation group was given the posterior surgery. The patients were followed up for knowing the specific circumstances of them.The Frankel grading of spinal cord injury and spinal deformity angle correction of the two groups were observed and analyzed comparatively. Results The result of the study showed that, the difference in Frankel grading of spinal cord injury of the two groups before and after treatment was statistically significant（P〈0.05）, but the difference between the two groups was not statistically significant（P〉0.05）; the difference in spinal deformity angle correction of the two groups before and after treatment was statistically significant（P〈0.05）, while the difference between the two groups was not statistically significant（P〉0.05）. Conclusion For patients with thoracolumbar fractures and spinal cord injury, both anterior and posterior surgical treatments have high clinical value, the effects are significant, which can effectively correct the deformity after spinal fractures and improve the neurological function, and are worthy of vigorous promotion clinically.