首页|经皮椎弓根螺钉与开放椎弓根螺钉治疗腰椎骨折的疗效分析

经皮椎弓根螺钉与开放椎弓根螺钉治疗腰椎骨折的疗效分析

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目的 探究经皮椎弓根螺钉和开放椎弓根螺钉在腰椎骨折中的治疗效果.方法 回顾性选取2020年12月—2023年9月盐城市第三人民医院收治的88例腰椎骨折患者的临床资料,根据不同手术方式分为对照组和观察组.对照组43例患者给予切开复位椎弓根螺钉内固定术,观察组45例患者给予经皮椎弓根螺钉内固定术.对比两组患者围术期手术指标以及椎体前缘高度、局部后突压缩角度在治疗前后差异.结果 观察组围术期指标优于对照组,差异有统计学意义(P<0.05);观察组手术后椎体前缘高度为(0.81±0.14)cm,低于对照组的(1.04±0.38)cm,差异有统计学意义(t=1.995,P<0.05);两组患者椎体局部后突角度在手术前后对比,差异无统计学意义(P均>0.05).结论 经皮椎弓根螺钉术式有更少的出血量,更短的手术和住院时长,效果与开放术式的后突畸形矫正表现相当.
Efficacy of Percutaneous Pedicle Screws and Open Pedicle Screws in the Treatment of Lumbar Spine Fractures
Objective To explore the effect of percutaneous pedicle screws and open pedicle screws in the treatment of lumbar spine fractures.Methods The clinical data of 88 patients with lumbar vertebral fracture admitted to the Third People's Hospital of Yancheng City from December 2020 to September 2023 were retrospectively selected and divided into the control group and the observation group according to the different surgical methods.A total of 43 patients in the control group received open reduction pedicle screw internal fixation,and 45 patients in the observation group re-ceived percutaneous pedicle screw internal fixation.Perioperative indexes,vertebral anterior margin height and local-ized posterior protrusion compression angle were compared between the two groups before and after treatment.Results Perioperative indexes of observation group were better than those of control group,the differences were statistically sig-nificant(P<0.05).The anterior vertebral margin height in the observation group was(0.81±0.14)cm,which was lower than that in the control group(1.04±0.38)cm,the difference was statistically significant(t=1.995,P<0.05).Compari-son of the localized posterior protrusion angle of the vertebrae between the two groups of patients before and after sur-gery,the differences were not statistically significant(all P>0.05).Conclusion Percutaneous pedicle screw surgery has less bleeding,shorter operative and hospitalization times,and is comparable to open surgery in the correction of poste-rior prominences.

Lumbar spine fracturePercutaneous pedicle screwsOpen pedicle screwsLumbar function

王超、吕成堂

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盐城市第三人民医院骨科,江苏盐城 224000

腰椎骨折 经皮椎弓根螺钉 开放椎弓根螺钉 腰椎功能

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(10)
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