首页|Sextant微创经皮椎弓根螺钉内固定术联合椎体形成术对脊柱骨折合并骨质疏松应用效果

Sextant微创经皮椎弓根螺钉内固定术联合椎体形成术对脊柱骨折合并骨质疏松应用效果

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目的:探讨Sextant微创经皮椎弓根螺钉内固定术联合椎体形成术的应用效果。方法:选取2020。1~2023。1收治的60例脊柱骨折合并骨质疏松患者,分为观察组与对照组,各30例。对照组实施PVP治疗,观察组实施PLIF联合PVP治疗,对比两组相关指标。结果:观察组首次下床时间及住院时间、术后即刻及术后3个月椎体后凸角、椎体高度压缩率低于对照组,手术时间、椎体后凸角矫正率、椎体高度恢复率高、SFI、JOA评分高于对照组(P<0。05);观察组术后并发症发生率及再骨折发生率低于对照组(P<0。05)。结论:Sextant微创PLIF联合PVP治疗脊柱骨折合并骨质疏松疗效显著,额外创伤小,因固定效果较好,可促进术后恢复,改善远期腰椎功能,且可降低术后并发症及再骨折发生率。
The Application Effect of Sextant Minimally Invasive Percutaneous Pedicle Screw Fixation Combined with Vertebral Body Formation Surgery on Spinal Fractures Combined with Osteoporosis
Objective:To explore the application effect of Sextant minimally invasive percutaneous pedicle screw fixation com-bined with vertebral body formation surgery on spinal fractures with osteoporosis.Methods:60 patients with spinal fracture and osteo-porosis admitted from 2020.1 to 2023.1 were selected and divided into observation group and control group,with 30 patients each.The control group received PVP,and the observation group performed PLIF combined with PVP,comparing the two groups.Results:The time of first implantation,the compression rate of vertebral height,and the correction rate,the vertebral height,SFI and JOA score were higher than the control group(P<0.05);the postoperative complication rate and refracture rate in the observation group were lower than the control group(P<0.05).Conclusion:Sextant Minimally invasive PLIF combined with PVP for spinal fracture combined with osteo-porosis,with less additional trauma.Due to the good fixation effect,it can promote postoperative recovery,improve long-term lumbar function,and reduce the incidence of postoperative complications and refracture.

Minimally invasive percutaneous pedicle screw internal fixation surgeryVertebroplastySpinal fracturesOsteoporosis

卫永鲲、欧阳振、杨立峰、徐琳、尹伟、黄新周

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西安交通大学医学部附属三二○一医院骨科 陕西汉中 723000

微创经皮椎弓根螺钉内固定术 椎体形成术 脊柱骨折 骨质疏松

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(22)