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曹智强.内固定联合不同植骨方式治疗老年胸腰段椎体压缩性骨折[J].浙江中西医结合杂志,2020,30(5):
内固定联合不同植骨方式治疗老年胸腰段椎体压缩性骨折
Internal fixation combined with different bone grafting methods for the treatment of senile thoracolumbar vertebral compression fracturesCao Zhiqiang Ye Yitong Yu Jing Jin ZhengXian Department of Orthopaedics, Zhejiang Jinhua Guangfu Hospital 321000
投稿时间:2019-08-13  修订日期:2020-01-07
DOI:
中文关键词:  植骨方式  椎弓根钉固定  椎体压缩性骨折  疗效
英文关键词:bone grafting  pedicle screw fixation  vertebral compression fracture  efficacy
基金项目:
作者单位E-mail
曹智强 浙江金华广福医院 zengzhiqiangzzx@163.com 
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中文摘要:
      目的 探讨不同植骨方式联合内固定治疗老年胸腰段椎体压缩性骨折疗效差异。方法 回顾性分析近期来我科住院治疗的老年胸腰段椎体压缩性骨折患者作为观察对象,根据患者治疗方式不同,分为椎弓根钉固定联合经椎弓根植骨组(观察组)和椎弓根钉固定联合经外侧植骨组(对照组),比较两组患者术前、术后椎体间隙高度、椎体压缩率、Cobb 角及VAS 评分、术后并发症的差异。结果 与术前相较,各组患者术后1周、术后1年椎体间隙高度明显升高,椎体压缩率、Cobb 角明显降低,差异有统计学意义(P<0.05)。其中与术后1周相比,两组患者椎体间隙高度、椎体压缩率、Cobb 角均有所丢失,对照组丢失情况较观察组更为明显,差异有统计学意义(P<0.05)。与术前相比,两组患者术后1月、术后2月、术后3月VAS评分显著降低,差异有统计学意义(P<0.05),而在术后2月、术后3月的VAS评分比较中,观察组VAS评分显著低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 椎弓根钉固定联合经椎弓根植骨术用于老年胸腰段椎体压缩性骨折治疗,能够更好的维持椎体间隙高度、改善椎体矫正效果、降低患处疼痛感及术后并发症的发生率。
英文摘要:
      Objective To explore the difference in the efficacy of different bone grafting methods combined with internal fixation for the treatment of senile thoracolumbar vertebral compression fractures. Methods Retrospective analysis of elderly patients with thoracolumbar vertebral compression fractures who were recently hospitalized in our department as observation subjects, according to different treatment methods, divided into pedicle screw fixation combined with pedicle bone graft group (observation group) and Pedicle screw fixation combined with lateral bone grafting group (control group), The differences of preoperative and postoperative vertebral space height, vertebral compression ratio, Cobb angle and VAS score, and postoperative complications were compared between the two groups. Results Compared with preoperative, the height of the intervertebral space was significantly increased in 1 week and 1 year after operation, and the vertebral compression rate and Cobb angle were significantly decreased (P<0.05). The height of vertebral space, vertebral compression rate and Cobb angle were lost in the two groups. The loss of the control group was more obvious than that of the observation group (P<0.05). Compared with preoperative, the VAS scores of the two groups were significantly lower after 1 month, 2 months, and 3 months after operation (P<0.05), but 2 months after surgery and 3 months after surgery. In the comparison of VAS scores, the VAS score of the observation group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Pedicle screw fixation combined with transpedicular bone grafting for the treatment of senile thoracolumbar vertebral compression fractures can better maintain vertebral space height, improve vertebral body correction, reduce pain in the affected area and postoperative complications The incidence of the disease.
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