| 白佳悦 张为 张凯 丁文元 申勇.椎旁肌间隙入路结合伤椎置钉技术治疗胸腰段骨折的近期临床疗效评估[J].,2016,16(2):285-287 |
| 椎旁肌间隙入路结合伤椎置钉技术治疗胸腰段骨折的近期临床疗效评估 |
| Paravertebral Intermuscular Approach Combined with Pedicle Fixation at theFractured Vertebra for Thoracolumbar Fractures |
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| DOI： |
| 中文关键词: 椎旁肌间隙入路 伤椎置钉技术 胸腰段骨折 临床疗效 |
| 英文关键词: Paravertebral intermuscular approach Pedicle fixation at the fractured vertebra Thoracolumbar fractures Clinical effect |
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| 中文摘要: |
| 目的：讨论椎旁肌间隙入路结合伤椎置钉技术治疗胸腰段骨折的近期临床疗效。方法：选取2013 年4月至2014 年9 月我院
确诊的胸腰段骨折患者95 例，应用椎旁肌间隙入路结合伤椎置钉技术治疗。分别在手术前、术后1 个月、3 个月、6 个月、1 年，采
用视觉模拟评分法（VAS）、腰背痛日本骨科协会评分（JOA）对患者手术前后腰背疼痛进行评估，另外对手术前后伤椎前后缘高度
比及胸腰段后凸畸形Cobb 角进行测定分析。结果：患者术后的VAS 评分、JOA评分随术后1 个月、3 个月、6 个月、1 年时间不断
下降，且均低于手术前，差异均具有统计学意义（P<0.05）；术后患者不同时间点的伤椎前后缘高度比不断下降，且胸腰段后凸畸形
Cobb 角较术前均明显减小，差异均具有统计学意义（P<0.05）。结论：采用椎旁肌间隙入路结合伤椎置钉技术治疗胸腰段骨折患
者，可缓解其腰背疼痛，术后脊柱矫形效果明显，短期预后好，值得在临床上广泛应用。 |
| 英文摘要: |
| Objective:To discuss the short-term clinical effect of pedicle fixation at the fractured vertebra via paravertebral
intermuscular approach for thoracolumbar fractures.Methods:A total of 95 patients with thoracolumbar fractures, who were treated in
Third Hospital Affiliated of Hebei Medical University from April 2013 to September 2014, were selected. All the patients were treated
with pedicle fixation at the fractured vertebra via paravertebral intermuscular approach. The waist and back pains of the patients were
evaluated by visual analogue scale(VAS) and the Japanese Orthopaedic Association(JOA) score 1 month, 3 months, 6 months and 1 year
before and after operation; The height ratio of the posterior margin to posterior margin of the injured vertebra and thoracolumbar
kyphosis deformity Cobb angle were determined and analysed.Results:VAS scores and JOA scores gradually decreased during 1 month,
3 months, 6 months, and 1 year after operation, lower than before operation,the differences were statistically significant (P<0.05). The
height ratio of the posterior margin to posterior margin of the injured vertebra at different time points gradually decreased, and the
thoracolumbar kyphosis deformity Cobb angle after operation significantly decreased than before operation, the differences were
statistically significant (P<0.05).Conclusion:Using pedicle fixation at the fractured vertebra via paravertebral intermuscular approach to
treat the patients with thoracolumbar fractures can significantly relieve the waist and back pains, with obvious spine orthopedic effect and
good short-termprognosis, which is worthy of clinical application. |
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