首页|后路短节段与长节段椎弓根钉固定术在脊柱骨折治疗中的效果对比

后路短节段与长节段椎弓根钉固定术在脊柱骨折治疗中的效果对比

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目的:分析后路短节段与长节段椎弓根钉固定术对脊柱骨折患者的效果对比.方法:选取2021年2月~2023年1月本院60例脊柱骨折患者,根据不同手术分为两组,其中长节段组的30例为后路长节段椎弓根钉固定治疗,短节段组的30例为后路短节段椎弓根钉固定治疗.对比两组围手术期指标、并发症发生率、不同时间点伤椎前缘高度百分比、Cobb角腰椎功能.结果:长节段组切口长度、手术、住院时间长于短节段组,术中出血量多于短节段组,术后卧床时间少于短节段组(P<0.05);术后3个月、1年长节段组Cobb角和ODI评分低于短节段组,伤椎前缘高度百分比高于短节段组(P<0.05);术后1周、3个月、1年两组并发症发生率对比无统计学意义(P>0.05).结论:与后路短节段椎弓根螺钉固定术相比,长节段椎弓根固定术治疗脊柱骨折可缩短脊柱骨折卧床时间,增强腰椎功能,有利于患者术后恢复.
Comparison of Efficacy of Posterior Short-Segment and Long-Segment Pedicle Fixation in the Treatment of Spinal Fractures
Objective:To compare the effect of posterior short segment pedicle nail fixation with long segment pedicle fixation in patients with spinal fracture. Methods:60 patients with spinal fracture in our hospital from February 2021 to January 2023 were selected and divided into two groups according to different operations.30 cases in the long segment group were treated with posterior long segment pedicle nail,and 30 cases in the short segment group were treated with posterior short segment pedicle nail. Perioperative indexes,complication rate,percentage of anterior vertebra height at different time points,cobb angle,pain degree and lumbar function were compared between two groups. Results:The incision length,operation time and hospital stay in the long segment group were longer than those in the short segment group,the intraoperative blood loss was more than that in the short segment group,and the postoperative bed time was less than that in the short segment group (P<0.05). The cobb angle and ODI scores were lower in segment group than in short segment group at 3 months and 1 year after surgery,and the percentage of anterior vertebra height was higher than that in short segment group (P<0.05). VAS score and complication rate of the two groups were compared at 1 week,3 months and 1 year after surgery (P>0.05). Conclusion:Compared with posterior short segment pedicle screw fixation,long segment pedicle fixation can shorten the bed time of spinal fracture,enhance the function of lumbar spine,and facilitate the postoperative recovery of patients.

thoracolumbar functionpedicle fixationshort segmentlong segmentspinal fracture

周英勇、卢奇昊、池开宇、吉光荣

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厦门市中医院,福建厦门 361000

胸腰椎功能 椎弓根固定术 短节段 长节段 脊柱骨折

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(24)