短节段椎弓根钉内固定治疗胸腰段脊柱骨折脱位的临床观察

李光杰

（陕西省西乡县中医医院骨二科，陕西 汉中，723599）

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摘要：

目的 探讨短节段椎弓跟钉内固定治疗胸腰段脊柱骨折脱位的临床效果。方法 选择2013年1月至2016年1月在我院治疗的胸腰段脊柱骨折脱位患者120例为研究对象，所有患者均采用短节段椎弓跟钉内固定治疗。比较患者手术前、术后2周和术后6个月Cobb角和伤椎椎体前缘压缩比值。结果 术后2周和术后6个月与手术前相比，Cobb角显著降低，患椎椎体前缘高度比值则明显增高（P<0.05）。手术后6个月与手术后2周比较，Cobb角及患椎体前缘高度比值则无显著变化（P>0.05）。结论 短节段椎弓根钉内固定治疗胸腰段脊柱骨折脱位临床效果显著，能有效维持椎体高度，可在临床中推广应用。

关键词：短节段椎弓根内固定；胸腰段；脊柱；骨折脱位

中图分类号：R687.3 文献标志码：A文章编号：2096-1413(2017)11-0079-02

Clinical observation of short segment pedicle screw fixation on thoracolumbar spine fracture and dislocation
LI Guang-jie
(Xixiang County Traditional Chinese Medicine Hospital, Hanzhong 723599, China)

ABSTRACT: Objective To investigate the clinical effect of short segment pedicle screw fixation on patients with thoracolumbar spine fracture and dislocation. Methods One hundred and twenty cases of patients with thoracolumbar spine fracture and dislocation in our hospital from January 2013 to January 2016 were selected as the study objects, all patients were treated with short segment pedicle screw fixation. The preoperative and postoperative 2 weeks and 6 months after the operation, the ratio of Cobb angle and the front compression ratio of the injured vertebral body were compared. Results After the operation for 2 weeks and 6 months, the Cobb angles were significantly lower than those before the operation, and the height ratio of the front height of the vertebral body was significantly increased, and the differences were statistically significant (P<0.05). There were no significant difference in Cobb angle and the height of the anterior height of the vertebral body between 6 months and 2 weeks after surgery (P>0.05). Conclusion Short segment pedicle screw fixation on patients with thoracolumbar spine fracture and dislocation is significant, it can effectively maintain the vertebral height, can be widely applied and promoted in clinic.
KEYWORDS: short segment pedicle fixation; thoracolumbar spine; fracture; dislocation

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