后路单节段伤椎固定治疗脊柱胸腰段不完全爆裂骨折30例临床观察.docVIP

后路单节段伤椎固定治疗脊柱胸腰段不完全爆裂骨折30例临床观察【摘要】 目的 探讨后路单节段伤椎固定对脊柱胸腰段不完全爆裂骨折疗效的影响。 方法 选择60例脊柱胸腰段不完全爆裂骨折患者，随机分为两组，各30例，观察组给予单节段固定治疗，对照组给予短节段固定治疗，观察两组临床效果。 结果 两组的术后1周、术后1年伤椎角度、视觉模拟评分均较治疗前明显改善 ( P 0.05)。 结论 后路单节段伤椎固定与短节段固定治疗脊柱胸腰段不完全爆裂骨折疗效没有明显差别，近期疗效较好。 【关键词】 脊柱爆裂骨折；单节段伤椎固定；短节段伤椎固定；疗效  Posterior segment trauma vertebral fixation in the treatment of thoracolumbar burst fracture with incomplete clinical observation of 30 cases YU Xiao-peng,ZHAO Li-jun，YU Chang-zhen. Department of orthopedics,Weihai city center hospital,Weihai 264400,China  【Abstract】 Objective To investigate the posterior single open-door segmental vertebral fixation on thoracolumbar vertebrae burst fracture effect of incomplete. Methods 60 cases of thoracolumbar vertebrae burst fracture with incomplete, were randomly divided into two groups of 30 patients each, the observation group were given a single segmental fixation in treatment, the control group was given short segment fixation, observe two groups of clinical effect. Results The two groups after 1 weeks, after 1 years of vertebral angle, visual analogue scale than before treatment was significantly improved ( P O.05). Conclusion Posterior segment trauma vertebral fixation and short-segment fixation in the treatment of thoracolumbar burst fracture with incomplete without obvious difference, near future curative effect is better. 【Key words】 Spinal burst fracture; Single segmental fixation in to the injured vertebra; Short segment fixation in to the injured vertebra; Curative effect 脊柱骨折多见男性青壮年，多由间接外力引起，为由高处跌落时臀部或足着地、冲击性外力向上传至胸腰段发生骨折；少数由直接外力引起，如房子倒塌压伤、汽车压撞伤或火器伤。胸腰段记脊柱骨折多见。脊柱骨折可以并发脊髓或末尾马尾神经损伤，病情严重者可致截瘫，甚至危及生命［1］。本文旨在探讨后路单节段伤椎固定对脊柱胸腰段不完全爆裂骨折疗效的影响。 1 资料与方法  1.1 一般资料 选择2010年1月至2011年1月脊柱胸腰段不完全爆裂骨折患者60例。随机分为两组各30例。观察组中男19例，女11例；年龄平均(40.6～3.5)岁；对照组中男18例，女12例；年龄平均(40.9～3.7)岁。两组患者的性别、年龄、伤椎情况比较差异无统计学意义( P 0.05)，具有可比性。 1.2 方法 观察组给予单节段固定治疗，对照组给予短节段固定治疗，观察两组临床效果。 1.3 观察指标 观察记录两组患者的手术时间、术中出血量，术后1周及术后3、6、9、12个月时行脊柱正侧位的X线片，观察伤椎后凸的角