设为首页    加入收藏   
首页期刊介绍编委会投稿须知稿约期刊订阅广告合作联系我们留言板

《中国冶金工业医学杂志》 欢迎访问,欢迎查询,欢迎引用!本刊已开通手机短信发送录用通知业务。敬告作者投稿成功的标志是收到手机短信和邮件回执。投稿出现问题邮箱wangtaohong@wangkantong.com,网站技术支持QQ1172987239。

本刊对投稿新要求:1.如果作者是第一次投稿,请务必用自己邮箱注册,并请认真填写作者单位详细通讯地址和第一作者手机,以便能及时准确收到杂志。2.文章必须有中文摘要,近5年参考文献至少3条。详见本刊投稿须知。本刊已同“中国知网”签订独家上网协议。

本刊2022年第4期杂志正在快递寄出,如果有作者没有收到杂志请与本刊快递员白先生联系,电话13304129493,说明第一作者姓名和联系方式。

本刊2022年第4期杂志基本信息已经登载在本刊网站,欢迎读者、作者查询引用。

经皮椎弓根螺钉治疗胸腰椎骨折的临床研究
作者:黄杰聪 谢俊杰 曾志远 
单位:福建医科大学附属泉州市第一医院 福建 泉州 362000 
关键词:微创 椎弓根 胸腰椎 
分类号:R 683.2
出版年,卷(期):页码:2020,37(2):133-135
摘要:

 摘要:目的 观察经皮椎弓根螺钉内固定微创治疗胸腰椎骨折的疗效。方法 选取2015年1月~2018年6月我院骨科收治的单节段胸腰椎骨折患者56例,行胸腰椎CT检查均提示骨块突入椎管内。根据治疗方法不同分为跨伤椎固定组26例和经伤椎固定组30例,比较两组的术中出血量、手术时间及住院时间、手术前、后VAS评分、ODI指数及影像学指标。结果 两组手术时间比较差异有统计学意义(P<0.05);两组术后VAS评分、ODI指数及影像学指标与术前比较差异具有统计学意义(P<0.05);术后6个月跨伤椎固定组的伤椎椎体前缘高度及矢状位后凸Cobb角显著低于术前,差异有统计学意义(P<0.05),而经伤椎固定组无显著差异。术后两组间椎管内侵占率比较无显著差异。结论 两种微创经皮椎弓根内固定对单节段骨折块突入椎管内的胸腰椎骨折均具有良好的效果,能有效复位椎管内骨折块,经伤椎固定有利于脊柱后凸畸形的矫正及远期矫正效果的维持。

 Abstract:Objective To observe the curative effect of percutaneous pedicle screw fixation for thoracolumbar fracture. Methods A total of 56 selected patients with mono-segmental thoracolumbar fracture with bone mass protruded into the spinal canal showed by CT were treated in the department of orthopaedics of our hospital from January 2015 to June 2018, and divided into 26 cases of internal fixations across injured vertebrae group and 30 cases of through injured vertebrae group according to different treatment methods. The intraoperative blood loss, time of operation and hospital stay, VAS scores before and after surgery, ODI index and imaging indicators were compared between two groups. Results The difference in operation time between the two groups was statistically significant(P<0.05); the postoperative VAS scores ,ODI indexes and various imaging indexes between the two groups were statistically significant compared with the preoperative value(P<0.05). In 6 months after the operation, the anterior height of the injured vertebra and the Cobb Angle of sagittal kyphoid in internal fixations across injured vertebrae group were significantly lower than those in pre-operation, and the differences were statistically significant(P<0.05).  But there were no significantly differences in internal fixations through injured vertebrae group. There was no significant difference in the rate of canal encroachment between the two groups after surgery. Conclusion The two minimally invasive percutaneous pedicle internal fixations have good effects on mono-segmental thoracolumbar fractures with bone mass protruded into the spinal canal, and can effectively reduce the fractures in the spinal canal, and internal fixations through injured vertebrae is conducive to spinal protruding deformity correction and maintain long-term correction effect.

基金项目:
作者简介:
参考文献:

 [1] Choi UY,Park JY,Kim KH,et al. Unilateral versus bilateral percutaneous

pedicle screw fixation in minimally invasive transforaminal lumbar
interbody fusion[J]. Neurosurgical Focus,2013,35(2):E11.
[2] 郑光新,赵晓鸥,刘广林,等. Oswestry功能障碍指数评定腰痛患者的可信性[J]. 中国脊柱脊髓杂志,2002,12(1):13-15.
[3] 常锐,王德春.三种伤椎置钉固定胸腰段爆裂骨折的疗效对比[J]. 中国矫形外科志,2017,25(6):521-526.
[4] 许财元,张涛,高中玉,等.短节段椎弓根钉内固定治疗胸腰椎骨折-经伤椎与跨伤椎的临床疗效比较[J]. 天津医科大学学报,2016,22(1):58-61.
服务与反馈:
文章下载】【加入收藏
友情链接   中国知网-中国冶金工业医学杂志 搜狐邮箱 中国知网 中华预防医学会网站 国家新闻出版总署 博文采编官方网站 CNKI翻译助手 网易VIP163邮箱 网易126邮箱 网易163邮箱 雅虎邮箱 新浪邮箱 QQ邮箱 鞍钢总医院网站 丁香园 好医生 疾病查询

《中国冶金工业医学杂志》
编辑部地址:辽宁省鞍山市铁东区健身街3号(鞍钢总医院院内),邮编114002
电话:0412- 6327774 ,0412-6706630,传真:0412-6327774
网址:www.zgyjgyyxzz.com  邮箱:yjyx1984@vip.163.com
京ICP备10041176号