短节段固定结合伤椎置钉、植骨治疗胸腰椎骨折的临床效果分析(1)
摘要：目的 分析短节段固定结合伤椎置钉、植骨治疗胸腰椎骨折的临床效果。方法 选择2015年2月～2017年2月我院收治的78例胸腰椎骨折患者，随机分为甲组和乙组，每组39例。甲组采用传统后路短节段椎弓根螺钉复位固定技术治疗，乙组采用短节段固定结合伤椎置钉、植骨治疗，对比两组患者的临床效果和椎体中间高度评分。结果 乙组的优良率为92.30%，高于甲组的66.70%，差异有统计学意义(P<0.05)。术后乙组的椎体中间高度评分为(95.5±0.4)%，高于甲组的(80.1±4.1)%，差异有统计学意义(P<0.05)。结论 对胸腰椎骨折患者采用短节段固定结合伤椎置钉、植骨方式进行治疗，能让患者尽快愈合，弥补传统治疗方式的不足，值得推广和应用。
关键词：短节段固定；置钉、植骨；胸腰椎骨折
中图分类号： R687.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.06.037
, 百拇医药
文章编号：1006-1959(2018)06-0113-02
Clinical Effect Analysis of Short Segment Fixation Combined with Injured Spinal Nail and Bone Grafting in the Treatment of Thoracolumbar Fracture
ZHAO Ji-wen
(Department of Orthopaedics，Shapingba District Traditional Chinese Medicine Hospital，Chongqing 400000，China)
Abstract：Objective To analyze the clinical effect of short segment fixation combined with injured spinal nail in the treatment of thoracolumbar fractures.Methods 78 patients with thoracolumbar fractures treated in our hospital from February 2015 to February 2017 were randomly divided into group A and group B.39 cases in each group.Group A were treated with traditional posterior short pedicle screw reduction and fixation technique.Group B was treated with short segment fixation combined with injured vertebra screw and bone grafting.The clinical effect and the middle height of vertebral body were compared between the two groups.Results The excellent and good rate of group B was 92.30%，which was higher than that of group A 66.70%，the difference was statistically significant(P<0.05).After operation，the score of middle height of vertebral body in group B was(95.5±0.4)%，which was higher than that in group A(80.1 ±4.1)%，the difference was statistically significant(P<0.05).Conclusion The treatment of thoracolumbar fracture with short segment fixation combined with traumatic screw grafting can make the patients heal as soon as possible and make up for the deficiency of traditional treatment.It is worth popularizing and applying.
, 百拇医药
Key words：Short segment fixation；Nailing；Bone graft；Thoracolumbar fracture
胸腰椎骨折(thoracolumbar fracture)是當前常见的一种症状，对患者日常生活有严重的影响，传统治疗以内固定为主，治疗后受到其他因素的影响，可能存在不同类型的炎症，针对病例资料的特殊性，在后续分析阶段要从实际情况入手，做好具体资料分析工作。传统短节段跨伤椎治疗的优势明显，但是复位后受到其他因素的影响，存在不同程度的问题，根据病例资料的特殊性，在临床研究中要从实际情况入手，提前对病例资料掌握，按照治疗要求进行干预[1]。为了分析短节段固定结合伤椎置钉、植骨治疗胸腰椎骨折的临床效果，选择78例胸腰椎骨折患者作为研究对象，随机分为甲组和乙组，分组治疗后对效果进行分析，详细报道如下。
1资料与方法
1.1一般资料 选择2015年2月～2017年2月重庆市沙坪坝区中医院收治的78例胸腰椎骨折患者，其中重物损伤患者19例，高处坠落患者26例，交通损伤患者33例。纳入标准：单纯闭合胸腰椎压缩性骨折；椎体压缩超过椎体高度的1/3，Cobb角<15°；无脊髓和神经损伤；无需行后路椎管减压术；患者及家属均知情同意，签署同意保证书。排除标准：有严重骨质疏松者；合并严重心脑血管疾病者。将患者随机分为甲组和乙组，每组39例。甲组男30例，女9例，年龄32～64岁，平均年龄(45.51±0.52)岁；乙组男31例，女8例，年龄33～65岁，平均年龄(46.52±0.80)岁。两组患者资料对比差异无统计学意义(P>0.05)，有可比性。, 百拇医药(赵继文)
关键词：短节段固定；置钉、植骨；胸腰椎骨折
中图分类号： R687.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.06.037
, 百拇医药
文章编号：1006-1959(2018)06-0113-02
Clinical Effect Analysis of Short Segment Fixation Combined with Injured Spinal Nail and Bone Grafting in the Treatment of Thoracolumbar Fracture
ZHAO Ji-wen
(Department of Orthopaedics，Shapingba District Traditional Chinese Medicine Hospital，Chongqing 400000，China)
Abstract：Objective To analyze the clinical effect of short segment fixation combined with injured spinal nail in the treatment of thoracolumbar fractures.Methods 78 patients with thoracolumbar fractures treated in our hospital from February 2015 to February 2017 were randomly divided into group A and group B.39 cases in each group.Group A were treated with traditional posterior short pedicle screw reduction and fixation technique.Group B was treated with short segment fixation combined with injured vertebra screw and bone grafting.The clinical effect and the middle height of vertebral body were compared between the two groups.Results The excellent and good rate of group B was 92.30%，which was higher than that of group A 66.70%，the difference was statistically significant(P<0.05).After operation，the score of middle height of vertebral body in group B was(95.5±0.4)%，which was higher than that in group A(80.1 ±4.1)%，the difference was statistically significant(P<0.05).Conclusion The treatment of thoracolumbar fracture with short segment fixation combined with traumatic screw grafting can make the patients heal as soon as possible and make up for the deficiency of traditional treatment.It is worth popularizing and applying.
, 百拇医药
Key words：Short segment fixation；Nailing；Bone graft；Thoracolumbar fracture
胸腰椎骨折(thoracolumbar fracture)是當前常见的一种症状，对患者日常生活有严重的影响，传统治疗以内固定为主，治疗后受到其他因素的影响，可能存在不同类型的炎症，针对病例资料的特殊性，在后续分析阶段要从实际情况入手，做好具体资料分析工作。传统短节段跨伤椎治疗的优势明显，但是复位后受到其他因素的影响，存在不同程度的问题，根据病例资料的特殊性，在临床研究中要从实际情况入手，提前对病例资料掌握，按照治疗要求进行干预[1]。为了分析短节段固定结合伤椎置钉、植骨治疗胸腰椎骨折的临床效果，选择78例胸腰椎骨折患者作为研究对象，随机分为甲组和乙组，分组治疗后对效果进行分析，详细报道如下。
1资料与方法
1.1一般资料 选择2015年2月～2017年2月重庆市沙坪坝区中医院收治的78例胸腰椎骨折患者，其中重物损伤患者19例，高处坠落患者26例，交通损伤患者33例。纳入标准：单纯闭合胸腰椎压缩性骨折；椎体压缩超过椎体高度的1/3，Cobb角<15°；无脊髓和神经损伤；无需行后路椎管减压术；患者及家属均知情同意，签署同意保证书。排除标准：有严重骨质疏松者；合并严重心脑血管疾病者。将患者随机分为甲组和乙组，每组39例。甲组男30例，女9例，年龄32～64岁，平均年龄(45.51±0.52)岁；乙组男31例，女8例，年龄33～65岁，平均年龄(46.52±0.80)岁。两组患者资料对比差异无统计学意义(P>0.05)，有可比性。, 百拇医药(赵继文)