80例脊柱创伤病的临床分析

目的：探讨脊柱创伤病的诊断和治疗方法。方法回顾性分析2010年11月-2013年11月本院收治的80例脊柱创伤病患者，在行X线、CT及MRI检查，全面了解患者术前脊柱受损情况后，对患者行椎弓根植骨术进行治疗，比较患者术前以及术后一个月后的伤椎椎体前后缘压缩率、Cobb角，并观察神经功能、脊柱活动度等的恢复情况。结果相比于术前，手术一个月后的椎体前缘、后缘的压缩率以及Cobb角均显著降低；并且患者伤椎的脊髓神经功能恢复效果良好。结论术前对患者行CT、MRI联合诊断，并采用椎弓根植骨术以及钉棒固定术，这对于治疗脊柱创伤病具有较好的临床疗效，值得临床推广。

Clinical analysis of 80 cases of spinal injury

Objective To analyze the diagnosis ang treatment of thoracolumbar fractures. Methods To retrospectively analyze the clinical data of 80 patients adopted by our hospital during Nov. 2011 and Nov. 2013, and all patients were treated by posterior pedicle bone graft and pedicle screw fixation and be treated with decompression. X ray, CT and MRI should be done at the time of preoperative, immediate postoperative and follow-up. Measuring and comparing with vertebral and anterior vertebral compression rate and the Cobb angle of injury vertebral devices patients, and observing the neurologic and spinal recovery of activity, etc. Results It showed that vertebral compression, spinal canal encroachment rate and the Cobb angle improved compared with before surgery significantly（P〈0.01）, and all patients gained better neurologic and spinal recovery of activity. Conclusion The combination of X ray, CT and MRI with posterior pedicle bone graft and pedicle screw fixation have better clinical efficacy, and worthy of clinical promotion.