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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

后路椎弓根钉固定术联合Cage融合术治疗胸腰段脊柱骨折效果观察

张林,张兵,鲍亮,康晋

(西安医学院第二附属医院骨科,陕西 西安,710038)

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摘要:

目的 探讨后路椎弓根钉固定术联合Cage 融合术治疗胸腰段脊柱骨折效果。方法 选取120例胸腰段脊柱骨折患者,其中将58例行单纯后路椎弓根钉固定术治疗的患者设为A 组,另外62例行后路椎弓根钉固定术联合Cage融合术治疗的患 者设为B组,比较两组患者的预后情况。结果 B组患者出院时临床优良率、复位率、融合率明显高于A组(P<0.05);两组患 者的假关节形成、神经性疼痛、Cage 滑脱移位、钉棒断裂松动等并发症发生率比较,差异无统计学意义(P>0.05);B组患者在 术后1周、3、6个月的Cobb角、椎管狭窄率优于A组,椎体前缘高度大于A 组(P<0.05)。结论 后路椎弓根钉固定术联合 Cage 融合术能有效提高胸腰段脊柱骨折患者临床治疗效果。

关键词:后路椎弓根钉固定术;Cage 融合术;胸腰段脊柱骨折

中图分类号:R687.3 文献标志码:A文章编号:2096-1413(2017)27-0079-02

    Effect of posterior pedicle screw fixation combined with cage fusion in the treatment of thoracolumbar fracture
    ZHANG Lin, ZHANG Bing, BAO Liang, KANG Jin
    (Department of Orthopaedics, the Second Affiliated Hospital of Xi``an Medical University, Xi``an 710038, China)

    ABSTRACT: Objective To evaluate the effect of posterior pedicle screw fixation combined with cage fusion in the treatment of thoracolumbar fracture. Methods One hundred and twenty cases of patients with thoracolumbar fracture were selected. Among them, 58 patients treated with simple posterior pedicle screw fixation were selected as group A, and 62 patients treated with posterior pedicle screw fixation combined with cage fusion were assigned as group B. The prognosis of the two groups were compared. Results The clinical excellent rate, reduction rate and fusion rate of the group B were higher than those of the group A (P<0.05). There were no significant differences in the incidence of joint formation, neuropathic pain, cage spondylolisthesis, shift, nail bar fracture, loosening and other complications between the two groups (P>0.05). The angle of Cobb and the stenosis of vertebral canal in group B were better than those in group A, and the height of anterior vertebral body was higher than that in group A at 1 weeks, 3 months, 6 months (P<0.05). Conclusion Posterior pedicle screw fixation combined with cage fusion can effectively improve the clinical effect of thoracolumbar fracture.

    KEYWORDS: posterior pedicle screw fixation; cage fusion; thoracolumbar fracture

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