脊柱前路内固定器系统与脊柱后路椎弓根钉棒系统治疗腰椎爆裂性骨

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脊柱前路内固定器系统与脊柱后路椎弓根钉棒系统治疗腰椎爆裂性骨折的临床疗效对比

作者：代立武刘宏

来源：《中国医学创新》2016年第24期

【摘要】目的：观察腰椎爆裂性骨折患者使用脊柱前路内固定系统和脊柱后路锥弓根钉

棒系统治疗的临床疗效。方法：选取2014年2月-2015年2月本院收治的腰椎爆裂性骨折患者80例作为研究对象，随机分为前路组和后路组，每组40例。前路组给予脊柱前路内固定系统治疗，后路组给予脊柱后路锥弓根钉棒系统治疗，观察两组患者手术时间、术中出血量、术后引流量、融合时间、Cobb角变化、椎管前后径及椎管横断面积情况。结果：前路组手术时间、术中出血量及术后引流量均高于后路组，比较差异均有统计学意义（P0.05），术后1年

前路组均低于后路组，比较差异均有统计学意义（P

【关键词】腰椎爆裂性骨折；脊柱前路内固定系统；脊柱后路锥弓根钉棒系统

【Abstract】 Objective：To observe the clinical effects of anterior spinal internal fixation device system and posterior pedicle screw rod system in treatment with lumbar burst

fracture.Method：From February 2014 to February 2015，80 cases of lumbar burst fracture in our hospital were selected as the research objects，they were randomly divided into the anterior group and the posterior group，each group had 40 cases.The anterior group were treated with anterior spinal internal fixation device system and the posterior group were treated with posterior pedicle screw rod system，the operation time，intraoperative blood loss，postoperative drainage volume，fusion time，Cobb angle，anterior and posterior spinal canal diameter，cross-sectional area of spinal canal of two groups were compared.Result：The operation time，intraoperative blood loss and postoperative drainage volume in the anterior group were lower than the posterior group，the differences were statistically significant（P0.05），after 1 year，the anterior group was lower than the posterior group，the differences were statistically significant（P

【Key words】 Lumbar burst fracture； Anterior spinal internal fixation device system；Posterior pedicle screw rod system

First-author’s address：The First People’s Hospital of Xiaogan City，Xiaogan 432100，China doi：10.3969/j.issn.1674-4985.2016.24.005

在我国脊柱外科中腰椎爆裂性骨折是最常见的骨折类型，发病率占脊柱骨折的10%～20%[1-3]。大多发生于交通事故、高空坠物等情况下导致腰椎椎体受外力强烈撞击使脊髓周围的骨性结构和韧带碎裂。治疗腰椎爆裂性骨折的方式大多采用内固定手术，临床中常用的治疗