短节段椎弓根钉内固定治疗非相邻型多节段脊柱骨折患者的效果

短节段椎弓根钉内固定治疗非相邻型多节段脊柱骨折患者的效果

目的探讨对非相邻型多节段脊柱骨折患者采用短节段椎弓根钉内固定方案治疗的效果。方法收集我院骨科2015年1月～2017年1月接收的80例非相邻型多节段脊柱骨折患者，随机分成参考组和研究组，各40例。参考组以长节段椎弓根内固定方案治疗，研究组以短节段椎弓根内固定方案治疗，观察两组的治疗情况及疗效。结果研究组的手术操作时间短于参考组，手术出血量少于参考组，差异有统计学意义（P＜0.05）。研究组的术后各项并发症发生率低于参考组，差异有统计学意义（P＜0.05）。研究组术后的Frankel分级优于参考组，差异有统计学意义（P＜0.05）。研究组术后的伤椎前缘高度比高于参考组，Cobb角小于参考组，差异有统计学意义（P＜0.05）。结论对非相邻型多节段脊柱骨折患者采用短节段椎弓根钉内固定方案治疗的效果显著，安全性高，值得借鉴。

[Abstract]Objective To explore the clinical effects of short segment pedicle screw fixation in treatment of non-adjacent multi segmental spinal fractures.Methods 80 cases of non-contiguous spinal fractures in our hospital of Department of orthopedics ward from January 2015 to January 2017 were selected and randomly divided into the reference group and the study group，40 cases in each group.The reference group was treated with long segmental pedicle screw fixation，while the study group was treated with short segment pedicle screw fixation.Then，the treatment condition and clinical efficacy of the two groups were observed.Results The operation time of the study group was shorter than that of the reference group，and the amount of bleeding of the study group was less than that of the reference group，with significant difference （P＜0.05）.The incidence rate of postoperative complications in the study group was lower than that in the reference group，with significant difference （P＜0.05）.The Frankel grade of the study group was better than that of the reference group，with significant difference （P＜0.05）.The anterior height ratio of the injured vertebrae after operation in the study group was higher than that of the reference group，and the Cobb angle after operation in the study group was smaller than that of the reference group，with significant difference （P＜0.05）.Conclusion The clinical treatment effects of short segment pedicle screw fixation in the treatment of non-adjacent multi segmental spinal fractures is significant，the safety is high，it is worth learning.

[Key words]Non-adjacent；Multi segment；Spinal fracture；Short segment pedicle screw fixation

非相鄰型多节段脊柱骨折患者骨折后易出现知觉丧失，严重者甚至会导致瘫痪，从而对患者的日常生活及身心健康造成了严重的影响[1-2]。目前，临床上主要采用手术方案治疗该疾病[3-4]，其中又以后路长节段内固定方案较为常用，但实践发现患者治疗后往往无法获得理想的椎体生理强度。本研究选取我院骨科病房接收的非相邻型多节段脊柱骨折患者作为研究对象，以短节段椎弓根内固定方案进行治疗，取得了较为满意的效果，现报道如下。