椎弓根螺钉内固定治疗胸腰椎骨折36例疗效分析
The analyses of therapeutic effect of pedicle screw fixation used to treat 36 patie-nts who have fractures in thoracic and lumbar vertebrae
张正彪 1王平 1任国强 1刘涛1
作者信息
- 1. 679300 云南省德宏州盈江县人民医院骨科
- 折叠
摘要
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。
Abstract
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.
关键词
椎弓根螺钉/内固定/胸腰椎骨折/疗效分析Key words
Pedicle screw/Inner fixation/Fractures in thoracic and lumbar vertebrae/Analyses of therapeutic effect引用本文复制引用
出版年
2013
NETL
NSTL
维普
万方数据