[1]程福宏,张 楠,王晓锋,等.椎旁肌间隙入路椎弓根螺钉内固定治疗胸腰椎脊柱骨折的疗效[J].医学信息,2020,33(07):105-106.[doi:10.3969/j.issn.1006-1959.2020.07.030]
　CHENG Fu-hong,ZHANG Nan,WANG Xiao-feng,et al.Treatment of Thoracolumbar Vertebral Spine Fractures with Vertebral Pedicle Screw Fixation through Paraspinal Muscle Approach[J].Medical Information,2020,33(07):105-106.[doi:10.3969/j.issn.1006-1959.2020.07.030]
点击复制

椎旁肌间隙入路椎弓根螺钉内固定治疗胸腰椎脊柱骨折的疗效()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年07期
页码:
105-106
栏目:
临床研究
出版日期:
2020-04-01

文章信息/Info

Title:
Treatment of Thoracolumbar Vertebral Spine Fractures with Vertebral Pedicle Screw Fixation through Paraspinal Muscle Approach
文章编号:
1006-1959（2020）07-0105-02
作者:
程福宏; 张 楠; 王晓锋; 等
（1.西安交通大学第二附属医院骨科，陕西 西安 7100032.陕西省渭南市中心医院骨科，陕西 渭南 714000）
Author(s):
CHENG Fu-hong; ZHANG Nan; WANG Xiao-feng; et al
(1.Department of Orthopedics,the Second Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710003,Shaanxi,China;2.Department of Orthopedics,Weinan Central Hospital,Weinan 714000,Shaanxi,China)
关键词:
腰椎脊柱骨折; 椎旁肌间隙入路; 椎弓根螺钉内固定; 疼痛程度; 腰椎功能
Keywords:
Thoracolumbar spine fracture; Paraspinal muscle clearance approach; Pedicle screw fixation; Pain level; Lumbar function
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2020.07.030
文献标志码:
A
摘要:
目的 探讨椎旁肌间隙入路椎弓根螺钉内固定治疗胸腰椎脊柱骨折的疗效。方法 选取2017年1月~2019年5月我院就诊的胸腰椎脊柱骨折患者87例，采用随机数字表法分为对照组（43例）和观察组（44例）。对照组采用剥离椎旁肌后入路伤椎置钉短节段固定术，观察组采用椎旁肌间隙入路椎弓根螺钉内固定术，比较两组手术时间、术中出血量、下床活动时间、疼痛评分（VAS）及腰椎功能评分（ODI）。结果 观察组手术时间（59.42±5.98）min、术中出血量（7.21±2.43）ml、下床活动时间（2.93±1.05）d均低于对照组的（72.42±6.12）min、（15.21±3.65）ml、（5.68±1.47）d，差异有统计学意义（P＜0.05）；术后两组VAS评分、ODI均低于术前，且观察组低于对照组[（0.83±0.36）分 vs （7.48±2.26）分]、[（1.53±0.48）分 vs （11.25±3.62）分]，差异有统计学意义（P＜0.05）。结论 胸腰椎脊柱骨折患者采用椎旁肌间隙入路椎弓根螺钉内固定手术，手术时间短，术中出血量少，术后疼痛轻，可有效改善腰椎功能，利于患者康复。
Abstract:
Objective To investigate the therapeutic effect of pedicle screw fixation on the paraspinal muscle space for thoracolumbar spine fractures.Methods From January 2017 to May 2019, 87 patients with thoracolumbar spine fractures treated in our hospital were selected and divided into a control group(43 cases)and an observation group(44 cases)by random number table.The control group was treated with short-segment fixation of the vertebral screw after the dissection of the paravertebral muscles,and the observation group was treated with pedicle screw fixation of the paraspinal muscles.The operation time,intraoperative blood loss,and out of bed were compared between the two groups. Activity time,pain score(VAS)and lumbar function score(ODI).Results The operation time of the observation group(59.42±5.98)min,intraoperative blood loss(7.21±2.43)ml,time to get out of bed(2.93±1.05)d were all lower than that of the control group(72.42±6.12)min,(15.21±3.65)ml,(5.68±1.47)d,the difference was statistically significant(P＜0.05),postoperative VAS score and ODI of both groups were lower than before operation,and observation group was lower than control group[(0.83±0.36)points vs (7.48±2.26)points],[(1.53±0.48)points vs (11.25±3.62)points],the difference was statistically significant(P＜0.05).Conclusion Patients with thoracolumbar vertebral spine fractures are treated with pedicle screw fixation through the paraspinal muscle approach.The operation time is short,the amount of bleeding during the operation is small,and the postoperative pain is light.It can effectively improve the function of the lumbar spine and benefit the patient’s rehabilitation.

参考文献/References:

[1]陈志达,林斌,戴立林,等.后路减压椎弓根螺钉固定与单纯后路椎弓根螺钉固定治疗单节段胸腰椎骨折合并椎板青枝骨折[J].中华创伤杂志,2019,35(10):880-887.[2]黎高明,倪红联,谢伟,等.超声引导经皮椎体后凸成形术治疗骨质疏松性椎体骨折[J].中国中西医结合外科杂志,2019,25(1):74-77.[3]郑博隆,郝定均,闫亮,等.椎弓根螺钉联合伤椎骨水泥强化与联合伤椎置钉治疗骨质疏松性胸腰椎压缩骨折的疗效比较[J].中华创伤杂志,2019,35(8):716-722.[4]肖辉,朱长宝,陈操,等.后路切开复位椎弓根螺钉固定并自体椎板状髂骨块植骨融合治疗胸腰段椎体爆裂性骨折的疗效[J].中华骨与关节外科杂志,2019,12(3):177-181.[5]吴海峰,黄国顺,高峰,等.两种术式治疗胸腰椎骨折的临床研究[J].中国药物与临床,2019,19(20):3587-3588.

相似文献/References:

[1]曾小锋,黄瑞雄,闻树林.椎旁肌间隙入路与传统后正中入路治疗腰椎骨折的疗效对比[J].医学信息,2023,36(14):112.[doi:10.3969/j.issn.1006-1959.2023.14.022]
　ZENG Xiao-feng,HUANG Rui-xiong,WEN Shu-lin.Efficacy Comparison Between Paraspinal Muscle Gap Approach and Traditional Posterior Median Approach in Treating Fracture of Lumbar Vertebrae[J].Medical Information,2023,36(07):112.[doi:10.3969/j.issn.1006-1959.2023.14.022]

更新日期/Last Update: 2020-04-01