摘要
目的：观察经骨折椎单节段复位固定治疗创伤性胸腰椎骨折的临床疗效。方法选取2009年3月-2012年2月我院创伤性胸腰椎骨折患者68例，测量术前及术后骨折楔变指数、骨折节段矢状指数评价经骨折椎单节段复位固定的临床疗效。结果手术过程顺利，手术时间83.2±4.1min，术中出血量127.4±8.8ml，所有患者均获得随访，随访时间28.2±3.6月，均为骨性融合，无内固定失败。术后1周及最后1次随访时的骨折椎骨折楔变指数、骨折节段矢状位指数，相比术前均有统计学差异(P<0.05)。结论经骨折椎单节段复位固定治疗创伤性胸腰段骨折疗效较好，值得临床推广。
Abstract
Objective To investigate the single segment after fracture fixation cone traumatic thoracolumbar fractures clinical efficacy. Methods March 2009 February 2012 our hospital traumatic thoracolumbar fractures in 68 patients. Preoperative and postoperative measurements variable exponent wedge fracture, fracture segment index evaluate the sagittal vertebral fracture reduction and fixation of single segmental clinical efficacy. Results The surgery went smoothly, operative time 83.2±4.1 min, blood loss 127.4±8.8 ml, all patients were followed up for 28.2±3.6 months, are bony fusion without fixation failure. Preoperative fracture of vertebral fractures wedge variable index 42.6±11.2%, fracture segments sagittal index 13.1±4.3°, postoperative fracture wedge variable index 21.7±7.5%, fracture segments sagittal index 4.4±2.7°, wedge fracture of last follow-up change index 24.35±6.43%, segmental sagittal fracture index 6.17±2.67°, compared to the preoperative differences were statistically significant(P<0.05). Conclusion Single segmental vertebral fracture reduction and fixation of traumatic thoracolumbar fractures better, can be promoted in clinical practice.
NETL
NSTL
维普
万方数据