胸腰椎爆裂性骨折后路内固定手术中融合与非融合手术疗效比较研究.docVIP

胸腰椎爆裂性骨折后路内固定手术中融合与非融合手术疗效比较研究 　　[摘要] 目的 比?^研究融合与非融合手术对胸腰椎爆裂性骨折后路内固定手术疗效的影响。 方法 回顾性分析我院2012年2月～2015年2月接受后路内固定手术治疗的胸腰椎爆裂性骨折患者，符合纳入标准共78例。研究组采用非融合手术方式共35例，对照组采用融合手术方式共43例，记录两组患者的手术时间和术中出血量，观察两组患者手术前后以及1年后伤椎Cobb角，判断矫正丢失情况，采用疼痛视觉模拟评分（VAS）评价患者腰部功能情况。 结果 经比较，研究组手术时间[（1.42±0.20）h]少于对照组[（1.60±0.40）h]（P0.05）。研究组术后即刻伤椎Cobb角度数方面[（6.23±2.61）°]与对照组[（6.44±1.70）°]比较无明显差异。术后1年，研究组的伤椎Cobb角度数[（11.83±3.91）°]大于对照组[（8.78±2.86）°]（P0.05），矫正度丢失[（5.45±0.82）°]也大于对照组[（3.02±0.71）°]（P0.05），研究组的VAS评分[（1.77±0.62）分]与对照组[（1.65±0.49）分]比较无明显差异。 结论 胸腰椎爆裂性骨折患者行后路内固定手术时，无需常规进行融合，可缩短手术时间，避免取骨区并发症及减轻费用，且可获得与融合手术相似的疗效。 　　[关键词] 胸腰椎爆裂性骨折；融合；非融合；后路内固定 　　[中图分类号] R683.2 [文献标识码] B [文章编号] 1673-9701（2017）02-0056-04 　　Comparative study of curative effect of fusion and non-fusion surgery in posterior internal fixation for thoracolumbar burst fractures 　　GAO Feng ZHANG Zhida REN Yingqing SUN Chengqun WEI Na 　　Department of Spine Surgery，Yuyao People’s Hospital in Zhejiang Province，Yuyao 315400， China 　　[Abstract] Objective To compare the effect of fusion and non-fusion surgery on the efficacy of posterior internal fixation for thoracolumbar burst fractures. Methods Patients with thoracolumbar burst fractures who were treated with posterior internal fixation surgery in our hospital from February 2012 to February 2015 were retrospectively analyzed， and 78 patients were in compliance with the inclusion criteria. In the study group， 35 patients were given non-fusion operation. In the control group， 43 patients were given fusion operation. The operation time and blood loss during operation of the two groups were recorded. The Cobb angle of the injured vertebra was observed in both groups before and after operation and 1 year after operation. The correction loss was determined， and the pain visual analogue scale （VAS） was applied to evaluate patients lumbar function. Results Compared with the control group， the operation time was [（1.42± 0.20）] h in the study group was less than that of [（1.60±0.40）] h in the contr