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中文摘要: 目的 分析短节段椎弓根钉内固定治疗非相邻型多节段脊柱骨折(MNSF)的临床疗效。方法 43例MNSF患者根据自我意愿分为对照组27例(行后路长节段椎弓根钉内固定治疗)与观察组26例(行后路短节段椎弓根钉内固定治疗)， 观察两组手术情况、Cobb角角度、Frankel脊椎损伤功能分级及日本骨科协会(JOA)评分情况。结果 与对照组比较，观察组手术时间及术中出血量明显改善(P＜0.05)。术后1个月，两组Cobb角角度较术前明显缩小，JOA评分明显增加，但观察组缩小及增加幅度均大于对照组(P＜0.05)。术后1个月，观察组脊椎损伤功能改善情况明显优于对照组，差异有统计学意义(P＜0.05)。结论 与后路长节段椎弓根钉内固定相比，短节段椎弓根钉内固定治疗MNSF更有利于患者神经功能与腰椎功能的恢复。
中文关键词: 短节段 椎弓根钉 非相邻型多节段脊柱骨折 神经功能 腰椎功能
Abstract:OBJECTIVE To explore the clinical efficacy of short-segment pedicle instrumentation (SSPI) in the treatment of multi-level non-continuous spinal fractures (MNSF). METHODS According to the patients’ willing, 43 cases of MNSF were divided into control group (n=27, undergoing posterior long-segment pedicle instrumentation) and observation group (n=26, undergoing posterior SSPI). The conditions of operation, Cobb angle, functional classification of Frankel spinal cord injury and Japanese Orthopaedic Association (JOA) scores were all observed in two groups. RESULTS The operation time and amount of intraoperative bleeding were improved obviously in observation group when compared to those in control group (P＜0.05). One month after operation, the Cobb angle decreased, while JOA scores increased in two groups when compared to those before operation, but the decreased and increased degrees of observation group were larger (P＜0.05). One month after operation, the improvement condition of spinal cord injury in observation group was superior to that in control group, and significant difference was shown (P＜0.05). CONCLUSION Compared with posterior long-segment pedicle instrumentation, SSPI is more conductive to recovery of neurological function and lumbar function for patients with MNSF.
keywords: short-segment pedicle screw multi-level non-continuous spinal fractures neurological function lumbar function
文章编号：3201806043 中图分类号：R681 文献标志码：
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| 作者 | 单位 |
| 杨维新① |
| Author Name | Affiliation |
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