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经皮椎弓根螺钉与传统开放式手术治疗A3型胸腰椎骨折临床疗效比较

陈太邦 陆声 石俊贞 施荣茂 梁金龙

陈太邦, 陆声, 石俊贞, 施荣茂, 梁金龙. 经皮椎弓根螺钉与传统开放式手术治疗A3型胸腰椎骨折临床疗效比较[J]. 昆明医科大学学报, 2019, 40(03): 58-62.
引用本文: 陈太邦, 陆声, 石俊贞, 施荣茂, 梁金龙. 经皮椎弓根螺钉与传统开放式手术治疗A3型胸腰椎骨折临床疗效比较[J]. 昆明医科大学学报, 2019, 40(03): 58-62.
Chen Tai Bang , Lu Sheng , Shi Jun Zhen , Shi Rong Mao , Liang Jin Long . Comparison of the Effects of Minimally Invasive Percutaneous Pedicle Screw Fixation and Conventional Open Spinal Internal Fixation on Type A3 Thoracolumbar Vertebra Fracture[J]. Journal of Kunming Medical University, 2019, 40(03): 58-62.
Citation: Chen Tai Bang , Lu Sheng , Shi Jun Zhen , Shi Rong Mao , Liang Jin Long . Comparison of the Effects of Minimally Invasive Percutaneous Pedicle Screw Fixation and Conventional Open Spinal Internal Fixation on Type A3 Thoracolumbar Vertebra Fracture[J]. Journal of Kunming Medical University, 2019, 40(03): 58-62.

经皮椎弓根螺钉与传统开放式手术治疗A3型胸腰椎骨折临床疗效比较

基金项目: 

基金: 云南省重大科技专项计划项目 (2017ZF025);

Comparison of the Effects of Minimally Invasive Percutaneous Pedicle Screw Fixation and Conventional Open Spinal Internal Fixation on Type A3 Thoracolumbar Vertebra Fracture

Funds: 

基金: 云南省重大科技专项计划项目 (2017ZF025);

  • 摘要: 目的 对比经皮椎弓根螺钉与传统开放脊柱内固定手术治疗胸腰椎骨折的临床疗效。方法 回顾性研究纳入2010年12月20日至2015年1月31日入住骨科86名胸腰椎骨折患者, 患者年龄15~56岁之间, AO分类A3型胸腰椎骨折不伴有神经症状, 接受经皮椎弓根螺钉的微创手术治疗或传统开放手术治疗。比较2组围手术期相关指标及伤椎Cobb角和椎体前缘高度丢失情况。结果 微创组患者术中出血量, 住院时间均优于开放组;术后2组间VAS评分及ODI值有统计学意义 (P<0.05) , 远期随访2组间无统计学意义 (P>0.05) 。2组间伤椎局部Cobb角无统计学意义;椎体前缘高度复位丢失有统计学意义, 微创组显著大于开放组 (P<0.05) 。结论经皮椎弓根钉能有效地治疗A3型胸腰椎骨折, 出血少, 创伤小, 恢复快, 远期临床疗效满意, 尤其适合年轻患者。
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  • 收稿日期:  2018-09-11

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