黄健 麦宗梨 谢永辉

    【摘要】 目的：探討内固定治疗胸椎后纵韧带骨化的效果及对并发症的影响。方法：选取2017年1月-2020年1月在本院接受治疗的90例胸椎后纵韧带骨化患者，采用随机数字表法分为研究组和对照组，每组45例。对照组应用后路全椎板切除减压治疗，研究组应用后路360°环形减压椎弓根螺钉内固定治疗。比较两组患者的并发症发生情况、手术情况、手术后6个月疗效以及手术前和手术后3、6个月的JOA评分。结果：研究组并发症发生率、术中出血量、手术时间均少于对照组，差异均有统计学意义(P0.05);手术后3、6个月，研究组JOA评分均高于对照组，差异均有统计学意义(P<0.05)。手术后6个月，研究组总有效率高于对照组，差异有统计学意义(P<0.05)。结论：胸椎后纵韧带骨化患者采用内固定治疗，可以增强疗效，安全性较高，降低胸椎后纵韧带骨化患者术后并发症发生率，值得应用推广。

    【关键词】 胸椎后纵韧带骨化 内固定 并发症

    [Abstract] Objective： To investigate the effect of internal fixation on ossification of posterior longitudinal ligament of thoracic spine and its effect on complications. Method： A total of 90 patients with ossification of posterior longitudinal ligament of thoracic spine in our hospital from January 2017 to January 2020 were selected， and they were divided into study group and control group according to random number table， 45 cases in each group. The control group received posterior total laminectomy and the study group received posterior 360° circumferential decompression and pedicle screw internal fixation. The incidence of complications ......