| 周廷玉 喻爱喜 钟兵 陈金 郭双红.经皮微创椎弓根螺钉内固定与开放手术对胸腰椎骨折患者Cobb's 角
与椎体前缘高度恢复的影响[J].,2016,16(22):4266-4269 |
| 经皮微创椎弓根螺钉内固定与开放手术对胸腰椎骨折患者Cobb's 角
与椎体前缘高度恢复的影响 |
| Impact of Percutaneous Minimally Invasive Pedicle Screw Fixation and OpenSurgery on the Cobb Angle and Anterior Height of the Vertebral Body ofPatients with Thoracolumbar Fractures |
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| DOI： |
| 中文关键词: 椎弓根螺钉 胸腰椎骨折 椎体前缘高度 |
| 英文关键词: Invasive pedicle screw Thoracolumbar vertebral fracture Vertebral height |
| 基金项目:湖北省武汉市卫生局卫生发展基金项目(1022236）；武汉大学中南医院科研项目(H201419） |
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| 中文摘要: |
| 目的：比较经皮微创椎弓根螺钉内固定与开放手术治疗胸腰椎骨折的临床疗效，并对其Cobb's 角与椎体前缘高度的变化情
况进行比较。方法：选择2011年1 月-2013 年10 月我院收治的60 例胸腰椎骨折患者并按照数字随机法分为两组，每组30 例，对
照组采取开放椎弓根螺钉内固定治疗，观察组经皮微创椎弓根螺钉内固定治疗，两组患者均随访24个月，比较两组患者手术一般
情况及Cobb's 角与椎体前缘高度恢复情况。结果：观察组手术切口长度、术中出血量及住院时间均短于对照组，差异具有统计学
意义(均P<0.05)。两组术后伤椎前缘高度及矢状位指数均大于术前(均P<0.05)，观察组术后伤椎前缘高度及矢状位指数均大于对
照组(均P<0.05)；且两组术后后凸Cobb 角小于术前(均P<0.05)，且观察组术后后凸Cobb 角小于对照组(P<0.05)。观察组术后并发
症1 例(3.3%)，与对照组4 例(13.3%)比较无显著统计学差异(均P>0.05)。结论：经皮微创椎弓根螺钉内固定治疗胸腰椎骨折疗效
较佳，Cobb's 角与椎体前缘高度恢复情况较优。 |
| 英文摘要: |
| Objective:To compare the clinical effect of minimally invasive percutaneous pedicle screw fixation and open surgery
in the treatment of thoracolumbar fractures, and compare the Cobb 's angle and vertebral height restoration.Methods:60 cases of
thoracolumbar fractures treated from January 2011 to October 2013 admitted in our hospital were selected and randomly divided into two
groups with 30 cases in each group. The control group took the open pedicle screw fixation while the observation group accepted
minimally invasive percutaneous pedicle screw fixation, two patients were followed up for 24 months. The general situation of operation,
Cobb's angle and vertebral height restoration were compared between two groups.Results:The incision length, bleeding volume and
hospitalization time of observation group were shorter than those of the control group (P<0.05). The kyphosis Cobb angle and sagittal
index of observation groups after operation were higher than those of the control group(P<0.05); the postoperative injury vertebral height
and sagittal position index of both groups postoperation were higher than those preoperation, which was significantly higher in the
observation group than those of the control group(P<0.05); the postoperative Cobb angle of both groups were less than those preoperation
(P<0.05), which was less in the observation group than that of control group (P<0.05). No significant difference was found in the
incidence of postoperative complications between two groups.Conclusion:Minimally invasive percutaneous pedicle screw fixation had
better curative effect in the treatment of thoracolumbar fracture and Cobb's angle and anterior vertebral body height recovery better. |
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