薄纯利

    【摘要】 目的：探討Wiltse入路与经皮入路椎弓根钉棒系统内固定术治疗胸腰椎AO-A型骨折的效果及对腰背功能恢复的影响。方法：选取2019年1月-2022年1月在利津县中心医院骨科诊治的120例胸腰椎骨折(TVF)患者，根据手术方式不同分为Wiltse组(n=68)和经皮组(n=52)，术后随访6个月，比较两患者手术指标及住院时间、腰背功能恢复情况及临床疗效。结果：Wiltse组手术时间短于经皮组(P0.05)。与手术前相比，两组术后6个月腰椎功能障碍指数问卷(ODI)评分及视觉模拟评分法(VAS)评分均降低，且经皮组均低于Wiltse组(P0.05)。结论：在治疗胸腰椎AO-A型骨折中Wiltse入路和经皮入路椎弓根钉棒系统内固定术均可有效促进腰椎功能的恢复；Wiltse入路手术时间更短，经皮入路创伤更小、恢复快且在促进腰背功能恢复，缓解疼痛方面效果更佳。

    【关键词】 胸腰椎骨折 Wiltse入路 经皮入路 椎弓根钉棒系统

    [Abstract] Objective： To investigate the effect of Wiltse approach and percutaneous pedicle screw system internal fixation in the treatment thoracolumbar AO-A fracture and its influence on the recovery of lumbodorsal function. Method： A total of 120 patients with thoracolumbar vertebrae fracture (TVF) who were treated in the Orthopedics Department of Central Hospital of Lijin from January 2019 to January 2022 were selected， they were divided into Wiltse group (n=68) and percutaneous group (n=52) according to different surgical methods. The postoperative follow-up was conducted for 6 months ......