经椎弓根植骨术治疗胸腰段骨折的疗效分析.pdfVIP

提 要 目的: 探讨椎弓根螺钉内固定并经伤椎椎弓根植骨治疗胸腰椎骨折的临床治疗 效果。 方法: 采用病例回顾分析，应用椎弓根螺钉内固定并经伤椎椎弓根植骨治疗胸腰 段脊柱骨折21例，比较椎弓根螺钉内固定并横突间植骨治疗胸腰段脊柱骨折26例， 术后及术后 1 年摄胸腰段脊柱 X 线片，分别测量伤椎前缘高度变化及 Cobb 角的矫正 程度的丢失，评价疗效。 结果: 经椎弓根植骨组与横突间植骨组相比较，伤椎前缘高度恢复程度及 Cobb 角的矫正程度，在术后即刻无明显差异，于术后1年随访，经椎弓根植骨组，伤椎前 缘高度变化及 Cobb 角的矫正程度丢失不明显，而横突间植骨组变化明显，二组存在 明显差异。 结论: 椎弓根螺钉内固定并经伤椎椎弓根植骨治疗胸腰段脊柱骨折，可有效地维 持伤椎前缘高度及减少内固定失效。 关键词 胸腰椎骨折；经椎弓根植骨 Results Analyse of Bone Grafting across Transpedicalar for the Treatment of Thoracolumbar Fracture Speciality: Orthopedics of TCM Author: Sun peizhi Tutor: Prof. Dong Jianwen Abstract Objective To investigate the clinical effectiveness of pedicle screw fixation and the transpedicle bone grafting treatment of thoracolumbar fractures. Methods We retrospected 21 cases of thoracolumbar fractures with the pedicle screw fixation and transpedicle bone grafting treatment, and compared to 26 cases with pedicle screw fixation and bone grafting between the transverse process treatment by radiologic outcomes measured after operation and during the follow - up period including the changes of the anterior body height and the loss of the Cobb’s angle correction. Results There were no significant differences between the 2 groups in either the anterior body height or Cobb angle correction in immediate postoperation. But in postoperative one-year follow-up, both the anterior body height and Cobb angle correction had no significant changes in pedicle screw fixation and the transpedicle bone grafting treatment group, and changed obviously in pedicle screw fixation and bone grafting between the transverse process treatment group. Conclusion Pedicle screw fixation and tra