發(fā)布時(shí)間：2019-07-23 05:32

【摘要】：[目的]探討肌間隙入路經(jīng)傷椎椎弓根植骨結(jié)合短節(jié)段跨傷椎釘棒固定治療無(wú)神經(jīng)損傷的A型胸腰段椎體骨折的療效。[方法]對(duì)2008年6月~2014年12月收治的65例A型胸腰椎骨折采用肌間隙入路經(jīng)傷椎椎弓根植骨和跨傷椎釘棒固定,其中男45例,女20例,平均年齡37.50歲(23~60歲)。記錄手術(shù)時(shí)間、出血量和植骨量,并對(duì)術(shù)前、術(shù)后的傷椎椎體前緣高度百分比、Cobb角、VAS評(píng)分行統(tǒng)計(jì)學(xué)分析。[結(jié)果]平均手術(shù)時(shí)間(97.30±13.60)min,平均術(shù)中出血量(135.30±43.50)ml,平均經(jīng)椎弓根植骨量(7.50±2.10)g。全部病例均獲得隨訪(fǎng),平均隨訪(fǎng)18.20個(gè)月(12~26個(gè)月)。傷椎椎體前緣高度百分比由術(shù)前的(57.30±3.80)%恢復(fù)至術(shù)后的(90.20±6.70)%,Cobb角由術(shù)前的(24.50±2.30)°恢復(fù)至術(shù)后的(4.80±0.60)°,VAS評(píng)分由術(shù)前的(7.80±1.30)分降至術(shù)后的(1.50±0.30)分。術(shù)后和術(shù)前比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。隨訪(fǎng)期間未發(fā)現(xiàn)內(nèi)固定松動(dòng)或斷裂病例。[結(jié)論]肌間隙入路經(jīng)傷椎椎弓根植骨聯(lián)合跨傷椎釘棒固定治療A型胸腰段椎體骨折,能有效糾正后凸畸形及保留脊柱后方軟組織,是一種創(chuàng)傷小、術(shù)后并發(fā)癥少的手術(shù)方法。
[Abstract]:[objective] to investigate the effect of muscle space approach in the treatment of type A thoracolumbar vertebral fracture without nerve injury by pedicle bone grafting combined with short segment screw rod fixation. [methods] from June 2008 to December 2014, 65 cases of type A thoracolumbar fractures were fixed through pedicle bone grafting and cross-injured screw rod via muscle space approach, including 45 males and 20 females, with an average age of 37.50 years (23 鈮，

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