侧入路微创椎间融合结合后路短节段固定治疗胸腰段骨折的临床研究.docVIP

侧入路微创椎间融合结合后路短节段固定治疗胸腰段骨折的临床研究 　　【摘要】 目的：探究侧入路微创椎间融合结合后路短节段固定治疗胸腰段骨折的临床效果。方法：选取2014年1月-2015年4月本院收治的胸腰段骨折患者96例作为研究对象，按照随机数字表法分为对照组和试验组，每组48例。对照组采用后椎弓根钉短节段固定联合外侧植骨融合方法治疗，试验组采用侧入路微创椎间融合结合后路短节段固定方法治疗，比较两组患者伤椎高度比值、脊柱后凸成角（Cobb角）、神经功能恢复情况及手术前后JOA评分。结果：试验组伤椎高度比值、Cobb角、神经功能恢复情况及术后12个月JOA评分均优于对照组，比较差异均有统计学意义（P0.05）。结论：侧入路微创椎间融合结合后路短节段固定应用在胸腰段骨折患者治疗中疗效确切，可明显改善患者椎体稳定性，促进神经功能恢复。 　　【关键词】 侧入路微创椎间融合； 后路短节段固定； 胸腰段骨折 　　【Abstract】 Objective：To explore the clinical effect of side in the minimally invasive intervertebral fusion combined with posterior short segment fixation in the treatment of thoracic lumbar fracture.Method：From January 2014 to April 2015，96 cases of thoracic lumbar fracture in our hospital were selected as the research objects，they were divided into the control group and the experimental group，each group had 48 cases.The control group treated with pedicle screw after short segmental fixation in combination with the lateral bone graft fusion method，the experimental group treated with side in the minimally invasive intervertebral fusion combined with posterior short segment fixation method，the injury vertebral height ratio，kyphotic angulation（Cobb angle），neurological function recovery and JOA score before and after surgery of two groups were compared.Result：The injury vertebral height ratio，Cobb angle，neurological function recovery and JOA score after surgery 12 months in the experimental group were all better than those of the control group，the differences were statistically significant（P0.05）.Conclusion：The effect of minimally invasive intervertebral fusion combined with posterior short segment fixation is exactly，it can obviously improve vertebral body stability，promote neural functional recovery. 　　【Key words】 Lateral approach of minimally invasive intervertebral fusion； Posterior short segment fixation； Thoracic lumbar fractures 　　First-author’s address：The People’s Hospital of Ganzhou City，Ganzhou 341000，China 　　doi：10.3969/j.issn.1674-4985.2016.29.034