经伤椎椎弓根椎体内植骨结合椎板后外侧植骨治疗胸腰椎爆破型骨折的远期疗效分析

doi:10.3969/j.issn.1674-490X.2019.02.005

医学研究与教育 ›› 2019, Vol. 36 ›› Issue (2): 23-27.DOI: 10.3969/j.issn.1674-490X.2019.02.005

经伤椎椎弓根椎体内植骨结合椎板后外侧植骨治疗胸腰椎爆破型骨折的远期疗效分析

段佳忠¹,杨柳²,董杰¹

1.遵义医科大学第五附属(珠海)医院骨科, 广东珠海 519100;
2.遵义医科大学珠海校区, 广东珠海 519110

收稿日期:2019-03-04 出版日期:2019-04-25 发布日期:2019-04-25
作者简介:段佳忠(1966—),男,湖南华容人,副主任医师,主要从事骨伤研究。 E-mail: 690891192@qq.com
基金资助:
浙江省医药卫生科研计划项目(2014KYA206)

Received:2019-03-04 Online:2019-04-25 Published:2019-04-25

摘要/Abstract

摘要： 目的探讨椎板后外侧植骨与经伤椎椎弓根植骨联合后外侧植骨治疗胸腰椎爆破型骨折的临床远期疗效。方法 2014年1月至2016年11月行后路短节段椎弓根螺钉内固定联合椎板后外侧植骨融合25例(A组);经伤椎椎弓根椎体内植骨联合椎板后外侧植骨融合19例(B组)。所有患者均于术前、术后1周,取内固定前及之后1年行胸腰椎X线及CT检查。结果术前、术后1周及取内固定前伤椎椎体前缘压缩率及Cobb角2组间比较差异无统计学意义(P>0.05)。取内固定后1年2组间比较椎体前缘压缩率及Cobb角差异有统计学意义(P<0.05)。结论后路短节段椎弓根螺钉内固定结合经伤椎椎弓根植骨联合椎板后外侧植骨是治疗胸腰椎爆裂型骨折的有效方法。

关键词: 胸腰椎爆破型骨折, 椎弓根植骨, 椎体高度

Abstract: Objective To investigate the clinical long-term effect of posterolateral laminar bone grafting combined with posterolateral bone grafting in the treatment of thoracolumbar burst fractures. Methods From January 2014 to November 2016, 25 cases of posterior short segment pedicle screw fixation combined with posterolateral laminar bone graft fusion were performed in our department(group A). 19 cases were treated with transpedicular bone grafting combined with posterolateral laminar fusion(group B). All patients were underwent thoracolumbar X-ray and CT examination before surgery, 1 week after surgery, before and 1 year after internal fixation. Results There was no significant difference in anterior compression ratio and Cobb angle between the two groups before operation, 1 week after operation and before internal fixation(P>0.05). 1 year after internal fixation, there were significant differences in anterior vertebral compression ratio and Cobb angle between the two groups(P<0.05). Conclusion Posterior short segment pedicle screw fixation combined with transpedicular bone grafting combined with posterolateral laminar bone grafting is an effective method for the treatment of thoracolumbar burst fractures and is worthy of clinical application.

Key words: thoracolumbar burst fracture, pedicle bone graft, vertebral height

中图分类号:

段佳忠,杨柳,董杰. 经伤椎椎弓根椎体内植骨结合椎板后外侧植骨治疗胸腰椎爆破型骨折的远期疗效分析[J]. 医学研究与教育, 2019, 36(2): 23-27.

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经伤椎椎弓根椎体内植骨结合椎板后外侧植骨治疗胸腰椎爆破型骨折的远期疗效分析

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