[1]张振华,李 芳,陈苏平,等.后路手术植骨方案差异对胸腰椎单椎体爆裂性骨折患者疗效及影像学参数的影响[J].医学信息,2023,36(17):98-102.[doi:10.3969/j.issn.1006-1959.2023.17.018]
　ZHANG Zhen-hua,LI Fang,CHEN Su-ping,et al.Influence of Different Bone Graft Schemes in Posterior Surgery on Clinical Efficacy and Imaging Parameters of Patients with Thoracolumbar Single Vertebral Burst Fracture[J].Journal of Medical Information,2023,36(17):98-102.[doi:10.3969/j.issn.1006-1959.2023.17.018]
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后路手术植骨方案差异对胸腰椎单椎体爆裂性骨折患者疗效及影像学参数的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年17期
页码:
98-102
栏目:
论著
出版日期:
2023-09-01

文章信息/Info

Title:
Influence of Different Bone Graft Schemes in Posterior Surgery on Clinical Efficacy and Imaging Parameters of Patients with Thoracolumbar Single Vertebral Burst Fracture
文章编号:
1006-1959（2023）17-0098-05
作者:
张振华; 李 芳; 陈苏平; 等
（1.山西大同大学医学院临床医学系，山西 大同 037000；2.山西医科大学第一医院影像科，山西 太原 030001；3.山西医科大学第一医院骨科，山西 太原 030001）
Author(s):
ZHANG Zhen-hua; LI Fang; CHEN Su-ping; et al.
(1.Department of Clinical Medicine,School of Medcine,Shanxi Datong University,Datong 037000,Shanxi,China;2.Department of Imaging,the First Hospital of Shanxi Medical University,Taiyuan 030001,Shanxi,China;3.Department of Orthopaedics,the First Hospital of Shanxi Medical University,Taiyuan 030001,Shanxi,China)
关键词:
手术; 植骨; 胸腰椎骨折; 爆裂性骨折; 影像学
Keywords:
urgery; Bone graft; Thoracolumbar fracture; Burst fracture; Imaging
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2023.17.018
文献标志码:
A
摘要:
目的 探讨后路手术植骨方案差异对胸腰椎单椎体爆裂性骨折患者疗效及影像学参数的影响。方法 回顾性分析我院2016年1月-2020年1月收治的129例胸腰椎单椎体爆裂性骨折患者的临床资料，根据治疗方案分为A组（43例）、B组（44例）及C组（42例），A组行伤椎椎弓根椎体内植骨，B组行椎板/横突间植骨，C组行小关节翻转植骨。比较3组内固定融合率、内固定失效率、影像学参数及ODI评分。结果 B组和C组内固定融合率均低于A组（P＜0.05）；3组固定失效率比较，差异无统计学意义（P＞0.05）；B组和C组矫正丢失量均多于A组（P＜0.05）；B组和C组末次随访时伤椎后凸Cobb角均高于A组（P＜0.05）；3组末次随访ODI评分均少于术前、术后6个月（P＜0.05）；3组术后6个月和末次随访ODI评分比较，差异无统计学意义（P＞0.05）。结论 后路手术伤椎椎弓根椎体内植骨、椎板/横突间植骨及小关节翻转植骨用于胸腰椎单椎体爆裂性骨折整体疗效接近，且伤椎椎弓根椎体内植骨椎体高度和后凸矫正维持效果更佳。
Abstract:
Objective To investigate the influence of different bone graft schemes in posterior surgery on clinical efficacy and imaging parameters of patients with thoracolumbar single vertebral burst fracture.Methods The clinical data of 129 patients with thoracolumbar single vertebral burst fracture admitted to our hospital from January 2016 to January 2020 were retrospectively analyzed. According to the treatment plan, they were divided into group A (43 patients), group B (44 patients) and group C (42 patients). Group A underwent vertebral pedicle bone graft, group B underwent vertebral plate/transverse process bone graft, and group C underwent facet joint turnover bone graft. The internal fixation fusion rate, internal fixation failure rate, imaging parameters and ODI scores were compared among the three groups.Results The fusion rate of internal fixation in group B and group C was lower than that in group A (P<0.05). There was no significant difference in the fixed failure rate among the three groups (P>0.05). The loss of correction in group B and group C was more than that in group A (P<0.05). The Cobb angle of kyphosis in group B and group C was higher than that in group A at the last follow-up (P<0.05). The ODI scores of the three groups at the last follow-up were lower than those before operation and 6 months after operation (P<0.05). There was no significant difference in ODI scores between the three groups at 6 months after operation and the last follow-up (P>0.05).Conclusion The overall efficacy of pedicle bone graft, vertebral plate/transverse process bone graft and facet joint turnover bone graft in the treatment of patients with thoracolumbar single vertebral burst fracture is similar, and the vertebral height and kyphosis correction of vertebral pedicle bone grafting are better.

参考文献/References:

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更新日期/Last Update: 1900-01-01