不同植骨融合术在经后路手术治疗胸腰椎爆裂骨折中的疗效对比

目的：对比经后外侧植骨融合（PLF）与椎间孔椎体间植骨融合（TLIF）治疗胸腰椎爆裂骨折的临床疗效。方法将我院2009年9月-2013年9月76例胸腰椎爆裂骨折患者按不同术式分为TLIF组（40例，椎间孔椎体间植骨融合治疗）和PLF组（36例，经后外侧植骨融合治疗），比较两组疗效。结果两组手术耗时、术中出血量无显著差异（P 〉0.05）；TLIF组植骨融合率明显高于PLF组（P 〈0.05）；TLIF组术后1月、12月的的椎体压缩率及Cobb角均明显优于PLF组（P 〈0.05）。结论椎间孔椎体间植骨融合治疗胸腰椎爆裂骨折效果显著，优于经后外侧植骨融合，值得临床推广。

Comparative analysis of different fusion in the treatment of thoracolumbar burst fracture

Objective To compare the clinical efficacy between posterolateral fusion（PLF） and transforaminal interbody fusion（TLIF） in treating thoracolumbar burst fracture. Methods 76 cases thoracolumbar burst fractures patients into our hospital from September 2009 to September 2013 were divided into TLIF group（40 cases, transforaminal interbody fusion） and PLF group（36 cases, posterolateral fusion）, the clinical efficacy of two groups were compared. Results There was no significant diference in operation time and blood loss of two groups（P 〉0.05）; The success rate of fusion of TLIF group was higher than that of PLF group（P 〈0.05）; There were significant differences in vertebral compression ratio and Cobb angle between two groups postoperative 1 months, 12 months（P 〈0.05）. Conclusion Transforaminal interbody fusion has a good effect on treating thoracolumbar burst fracture, which is better than posterolateral fusion, and it is worthy of clinical widely.