| 谢小东,梁 磊,李春晓.后路减压联合椎弓根螺钉固定治疗完全性胸椎骨折脱位疗效分析[J].中国烧伤创疡杂志,2024,(1):37~39. |
| DOI： |
| 中文关键词: 椎弓根螺钉 后路减压 胸椎 骨折 脱位 脊髓功能 |
| 英文关键词:Pedicle screw fixation Posterior decompression Thoracic vertebrae Fracture Dislocation Spinal cord function |
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| 中文摘要: |
| 【摘要】 目的 探讨后路减压联合椎弓根螺钉固定治疗完全性胸椎骨折脱位的临床效果。 方法 给予 2016年 10 月至 2021 年 10 月汝南县人民医院收治的 11 例完全性胸椎骨折脱位患者行后路减压联合椎弓根螺钉固定治疗, 观察患者手术时间、 术中出血量、 疼痛程度、 骨折愈合情况、 脊髓功能恢复情况以及并发症发生情况。 结果 所有患者均顺利完成手术, 手术时间为 (201.32±26.87) min, 术中出血量为 (954.60±75.09) ml。 术后 1周患者视觉模拟评分法 (VAS) 评分为 (4.6±1.3) 分, 术后 6 个月患者 VAS 评分为 (1.7±0.6) 分, 均较术前明显减轻 ( t = 6.429、 23.780, P 均< 0.001)。 术后随访 6 个月, 所有患者均达骨性融合, 美国脊髓损伤协会(ASIA)分级为 A 级 1 例、 B 级 1 例、 C 级 1 例、D 级 8 例, 且所有患者均未出现感染、 压疮、 肋间神经痛、 背痛、 继发性后凸畸形等并发症。 结论 后路减压联合椎弓根螺钉固定可有效减轻完全性胸椎骨折脱位患者疼痛程度, 促进骨性融合及脊髓功能恢复, 临床应用价值较高。 |
| 英文摘要: |
| 【Abstract】 Objective To study the clinical efficacy of posterior decompression combined with pedicle screw fixation in the treatment of complete thoracic spine fracture and dislocation. Methods 11 patients with complete thoracic spine fracture and dislocation, admitted to People’s Hospital of Ru’nan from October 2016 to October 2021, were treated with posterior decompression combined with pedicle screw fixation. The following indicators of patients were observed, including operation time, intraoperative blood loss volume, pain degree, fracture healing condition, the recovery of spinal cord function, and the occurrence of complications. Results All the patients went through the surgery successfully, with the operation time being (201.32±26.87) min and the intraoperative blood loss volume being (954.60±75.09) ml. One week after surgery, the visual analogue scale (VAS) score was (4.6±1.3) points, and six months after surgery, the VAS score was (1.7±0.6) points, both being markedly lower than that before surgery ( t = 6.429 and 23.780, both P< 0.001). During the six-month follow-up after surgery, all patients achieved bony union, with American Spinal Injury Association (ASIA) classification -grade A in 1 case, grade B in 1 case, grade C in 1 case, and grade D in 8 cases. No complicationssuch as infections, pressure sores, intercostal neuralgia, back pain, or secondary kyphotic deformities were observed in all patients. Conclusion Posterior decompression combined with pedicle screw fixation can effectively reduce the pain degree of patients with complete thoracic spine fracture and dislocation, and promote bony union and the recovery of spinal cord function, presenting a much high value of clinical application. |
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