两种的方法治疗无神经损伤胸腰椎骨折效果分析.docVIP

两种的方法治疗无神经损伤胸腰椎骨折效果分析 　　[摘要] 目的 探讨无神经损伤胸腰椎骨折患者采用经伤椎椎弓根置钉四钉短节段固定法治疗的效果。 方法 收集2005年8月～2010年7月来我院就诊的无神经损伤的胸腰椎骨折患者62例，将患者按照治疗方法分为两组，对照组及观察组各31例，分别采用跨伤椎四钉固定法、经伤椎椎弓根置钉四钉短节段固定法治疗，比较两组患者的VAS评分、ODI、术前、术后3d、术后3个月、术后1年的Cobb角及伤椎前缘高度比。 结果 对照组及观察组患者术后VAS评分及ODI与术前比较均明显降低（P0.05）；两组患者的Cobb角在术后3d、术后3个月、术后1年与术前比较明显较低，而伤椎前缘高度比在术后各时间点与术前比较明显较高（P0.05）；观察组的Cobb角及伤椎前缘高度比在术后各时间点与对照组比较差异有统计学意义（P0.05）。 结论 无神经损伤胸腰椎骨折患者采用经伤椎椎弓根置钉四钉短节段固定法治疗效果较好，对患者脊柱的长期稳定作用优于跨伤椎四钉固定法。 　　[关键词] 胸腰椎骨折；神经损伤；四钉短节段固定法 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 2095-0616（2013）22-211-02 　　Effects analysis on thoracolumbar fractures without neurological damage treated with two methods 　　LIU Fen 　　Department of Orthopedic Surgery， Nanhai District of Foshan City Fourth Peoples Hospital， Foshan 528211， China 　　[Abstract] Objective To investigate the effect of non-nerve injury thoracolumbar vertebral fractures treated by pedicle screw placement four short segment fixation nail. Methods 62 patients with thoracolumbar fractures without neurological damage were selected from August 2005 to July 2010 in our hospital， all the patients were divided into two groups according to different treat methods， there were 31 cases in the control group and observation group， respectively， they were given cross-wound vertebral four nail fixation， the vertebral pedicle screw placement four short segment fixation nail treatment， respectively. We compared VAS scores， ODI， the Cobb angle and vertebral anterior height ratio of two groups before surgery， after three days， three months and 1 year. Results VAS score and ODI in the control group and the observation group postoperative were significantly lower than preoperative （P0.05）； Cobb angle of two groups on the postoperative 3d， 3 months and 1 year were significantly lower than preoperative， while the leading edge of vertebral height ratio at each time point after surgery were significantly higher than preoperative （P0.05）； There were significant different in the Cobb angle and vertebral height r