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    曾辉, 杨焱鑫, 王华仁, 姚楚亮, 陈杰, 廖臻. 中空强化骨水泥椎弓根螺钉内固定治疗老年胸腰椎压缩性骨折临床研究[J]. 蚌埠医科大学学报, 2018, 43(9): 1169-1172. DOI: 10.13898/j.cnki.issn.1000-2200.2018.09.015
    引用本文: 曾辉, 杨焱鑫, 王华仁, 姚楚亮, 陈杰, 廖臻. 中空强化骨水泥椎弓根螺钉内固定治疗老年胸腰椎压缩性骨折临床研究[J]. 蚌埠医科大学学报, 2018, 43(9): 1169-1172. DOI: 10.13898/j.cnki.issn.1000-2200.2018.09.015
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    ZENG Hui, YANG Yan-xin, WANG Hua-ren, YAO Chu-liang, CHEN Jie, LIAO Zhen. Study on the hollow reinforced bone cement pedicle screw internal fixation in the treatment of elderly thoracolumbar vertebral compression fractures[J]. Journal of Bengbu Medical University, 2018, 43(9): 1169-1172. DOI: 10.13898/j.cnki.issn.1000-2200.2018.09.015
    Citation: ZENG Hui, YANG Yan-xin, WANG Hua-ren, YAO Chu-liang, CHEN Jie, LIAO Zhen. Study on the hollow reinforced bone cement pedicle screw internal fixation in the treatment of elderly thoracolumbar vertebral compression fractures[J]. Journal of Bengbu Medical University, 2018, 43(9): 1169-1172. DOI: 10.13898/j.cnki.issn.1000-2200.2018.09.015
    shu

    中空强化骨水泥椎弓根螺钉内固定治疗老年胸腰椎压缩性骨折临床研究

    Study on the hollow reinforced bone cement pedicle screw internal fixation in the treatment of elderly thoracolumbar vertebral compression fractures

      摘要
    • 摘要: 目的：探讨中空强化骨水泥椎弓根螺钉内固定治疗老年胸腰椎压缩性骨折临床疗效。方法：选择胸腰椎压缩性骨折老年病人43例，按照随机数字表法分成2组，对照组21例，行多裂肌间隙切开复位内固定治疗；观察组22例，行骨水泥强化椎弓根螺钉内固定治疗。观察并比较2组病人临床疗效、术中情况，记录2组治疗前、治疗后6个月的VAS评分、Cobb角、椎体前缘高度水平，及治疗后6个月并发症的发生情况。结果：观察组临床疗效明显优于对照组（P<0.05），观察组总有效率95.5%显著高于对照组的76.2%（P<0.05）。观察组病人的手术时间、术中出血量、透视次数及术后下床活动时间较对照组显著减少（P<0.01）。2组病人治疗后6个月的VAS评分及Cobb角均较治疗前显著降低（P<0.01），椎体前缘高度较治疗前增加（P<0.01）；观察组VAS评分、Cobb角及椎体前缘高度改善情况均优于对照组（P<0.01）。2组并发症发生率差异无统计学意义（P>0.05）。结论：中空强化骨水泥椎弓根螺钉内固定治疗老年胸腰椎压缩性骨折可以效缓解疼痛，促进功能恢复，且并发症少，值得临床推广。

       

      Abstract: Objective:To investigate the clinical effects of hollow reinforced cement pedicle screw internal fixation in the treatment of elderly thoracolumbar vertebral compression fractures.Methods:Forty-three elderly patients with thoracolumbar vertebral compression fractures were divided into the control group(21 cases) and observation group(23 cases) according to random number table.The control group and observation group were treated with open reduction and internal fixation of polyfissure muscle space,and cement reinforced pedicle screw internal fixation,respectively.The clinical efficacy and intraoperative situation between two groups were compared.The VAS scores,Cobb angle,height of the anterior edge of vertebral body before treatment and after 6 months of treatment,and incidence of complications after 6 months of treatment in two groups were recorded.Results:The clinical efficacy in observation group was significantly better than that in control group(P<0.05),and the total effective rate in observation group(95.5%) was significantly higher than that in control group(76.2%)(P<0.05).The operation time,amount of intraoperative bleeding,times of fluoroscopy and time of getting out of bed after operation in observation group significantly decreased compared with control group(P<0.01).The VAS score and Cobb angle in two groups after 6 months of treatment significantly decreased compared with before treatment(P<0.01),and the height of anterior edge of vertebral body increased compared with before treatment(P<0.01).The improvement of VAS score,Cobb angle and anterior height of vertebral body in observation group were better than those in control group(P<0.01).There was no statistical significance in the incidence rate of complications between two groups(P>0.05).Conclusions:The hollow reinforced cement pedicle screw fixation in the treatment of elderly thoracolumbar vertebral compression fractures can effectively relieve pain,promote function recovery,and reduce complications,which is worthy of clinical promotion.

       

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