椎旁肌间隙入路椎弓根螺钉内固定术治疗胸腰段脊柱骨折的疗效分析

目的 观察分析胸腰段脊柱骨折患者采用椎旁肌间隙入路椎弓根螺钉内固定术治疗的临床疗效.方法 50例胸腰椎骨折患者随机分成观察组和对照组各25例,观察组患者使用椎旁肌间隙入路椎弓根螺钉内固定术进行治疗,对照组使用传统方法剥离椎旁肌后入路椎弓根螺钉内固定术进行治疗.观察患者临床手术指标、术后2周与6个月时的VAS疼痛评分、术后下地前及随访时的伤椎椎体前缘高度.结果 观察组临床手术指标优于对照组,术后VAS疼痛评分低于对照组,差异均有统计学意义(P<0.05);术后,组间伤椎椎体前缘高度差异没有统计学意义(P>0.05).结论 椎旁肌间隙入路椎弓根螺钉内固定术比传统方法手术时间更短,术中出血更少,患者恢复更快,不仅能起到较好的复位效果,还能明显降低患者的疼痛.

Efficacy of pedicle screw fixation by way of vertebral sideclearance in the treatment of thoracic lumbar spine fractures

Objective To evaluate the effects of pedicle screw fixation by way of vertebral side clearance in the treatment of thoracic lumbar spine fractures.Method Firstly, 50 patients with thoracolumbar fractures were randomly divided into an experimental group (n=25) and a control group (n=25).The experimental group were treated with pedicle screw fixation by way of vertebral side clearance.The control group were treated with traditional method by stripping vertebral side for pedicle screw fixation.The operation indicators, the pain scores achieved 2 weeks and 6 months after treatment as obtained by VAS pain, and vertebral fanterior flange heights before and after follow-ups of the two groups were documented and analyzed.Findings The clinical operation index of the experimental group was obviously better than that of the control group (P<0.05).The VAS pain score of the experimental group was obviously lower than that of the control group (P<0.05).The height of the injured vertebral fanterior margin between the two groups has no statistically significant difference (P>0.05).Conclusion As compared to the traditional method, the new method can bring about shorter length of surgery time, less intraoperative bleeding and quicker recovery.