首页|分析应用短节段椎弓根钉固定手术治疗脊柱骨折患者对其脊柱功能的影响

分析应用短节段椎弓根钉固定手术治疗脊柱骨折患者对其脊柱功能的影响

To analyze the effect of short level pedicle screw fixation on spinal function in patients with spinal fracture

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目的 探讨在脊柱骨折患者治疗中采取短节段椎弓根钉固定手术对患者脊柱功能的影响.方法 回顾分析本院收治的骨折患者的相关资料,从中选取102例脊柱患者作为研究对象,选取时间范围是2021年9月~2022年9月,根据随机数表法将这102例患者分成对比组和治疗组,每组有患者51例,两组采取不同治疗方式,分别是长节段椎弓根钉后路节内固定手术治疗(对比组)以及短节段椎弓根钉固定手术治疗(治疗组),分别对两组患者的脊柱功能、伤椎前缘高度比及Cobb角进行比较.结果 治疗前,两组伤椎前缘高度比和Cobb角差异无统计学意义(P > 0.05);治疗后,治疗组伤椎前缘高度比高于对比组,Cobb角低于对比组,组间数据差异有统计学意义(P < 0.05).治疗前,两组神经功能各个等级占比差异无统计学意义(P > 0.05);治疗后,两组患者的C级、D级神经功能占比差异无统计学意义(P > 0.05),而治疗组E级神经功能占比高于对比组,且治疗组A级、B级神经功能占比低于对比组,组间数据差异有统计学意义(P < 0.05).结论 脊柱骨折患者需要积极配合治疗,经过短节段椎弓根钉固定治疗后,能提升伤椎前缘高度比,减少脊柱侧弯,明显改善患者脊柱功能损伤程度,效果比较明显.
Objective To investigate the effect of short level pedicle screw fixation on spinal function in patients with spinal fracture. Methods The relevant data of fracture patients admitted to our hospital were retrospectively analyzed, and 102 cases of spinal patients were selected as research objects. The selected time range was from September 2021 to September 2022. The 102 patients were divided into comparison group and treatment group according to random number table method, with 51 patients in each group. Long level pedicle screw posterior internal fixation (comparison group) and short level pedicle screw fixation (treatment group) were performed respectively. The spinal function, height ratio of injured vertebral front and Cobb Angle were compared between the two groups. Results Before treatment, there was no significant difference in the ratio of anterior vertebra height and Cobb Angle between the two groups (P>0.05). After treatment, the height ratio of injured vertebral front in the treatment group was higher than that in the control group, and the Cobb Angle was lower than that in the control group, and the data difference between the groups was statistically significant (P<0.05). Before treatment, there was no significant difference in the proportion of each grade of neurological function between the two groups (P>0.05). After treatment, there was no statistical significance in the proportion of grade C and Grade D nerve function between the two groups (P>0.05), while the proportion of grade E nerve function in the treatment group was higher than that in the comparison group, and the proportion of grade A and grade B nerve function in the treatment group was lower than that in the comparison group, and the data difference between the two groups was statistically significant (P<0.05). Conclusion The patients with spinal fracture need to actively cooperate with the treatment. After short-level pedicle screw fixation, the height ratio of the injured vertebral front can be improved, the scoliosis can be reduced, and the degree of spinal functional injury can be significantly improved.

short-level pedicle screw fixationspinal functionspinal fracture

罗汉民

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淄博市中医医院骨科,山东 淄博 255000

短节段椎弓根钉固定手术 脊柱功能 脊柱骨折

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(1)
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