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椎弓根螺钉内固定治疗胸腰椎骨折36例疗效分析

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目的:探讨椎弓根螺钉内固定手术对胸腰椎骨折的疗效。方法选取36例胸10-腰3骨折患者,采用椎弓根螺钉内固定术治疗,分析术后其神经功能、Cobb角度数和伤椎椎体高度比情况,术后1年与正常对照组对比其Cobb角度数、伤椎椎体高度比情况。结果患者术后腰椎功能大部分得以恢复,与术前比较,神经功能、Cobb角度数和伤椎椎体高度比情况均大部分改善(P <0.01),术后1年与正常对照组比较Cobb角度数和伤椎椎体高度比情况有统计学差异(P <0.01)。结论椎弓根螺钉内固定术能恢复腰椎大部分功能,但达不到正常人的水平。
The analyses of therapeutic effect of pedicle screw fixation used to treat 36 patie-nts who have fractures in thoracic and lumbar vertebrae
Objective To discuss the therapeutic effect of pedicle screw fixation used to treat fractures in thoracic and lumbar vertebrae. Methods 36 patients who have fractures from the tenth thoracic vertebrae to the third lumbar vertebrae were chosen to be operated with pedicle screw fixation. These respects were analysed after operation such as the functions of nerves, the degree of the Cobb angle and the ratio of the height of injured vertebral body and the normal ones. Also these respects of this group were compared with those of the other group which were used ordinary strategies. Results The function of lumbar vertebrae of most patients were recovered. Compared with the condition before operation, all things had been improved in the respects mentioned(P <0.01). Compared with the ordinary group one year after operations, there were obvious differences in those respects mentioned(P <0.01). Conclusion Pedicle screw fixation can make the functions of most injured lumbar vertebrae to be recovered, but can not reach the level of normal ones.

Pedicle screwInner fixationFractures in thoracic and lumbar vertebraeAnalyses of therapeutic effect

张正彪、王平、任国强、刘涛

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679300 云南省德宏州盈江县人民医院骨科

椎弓根螺钉 内固定 胸腰椎骨折 疗效分析

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(22)
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