CAJ | 학술논문

目的：比较经皮椎体成形术和切开复位椎弓根钉内固定治疗胸腰段椎体压缩性骨折的临床疗效。方法回顾性分析该院2009年1月-2012年7月间收治的椎体压缩性骨折患者120例，随机分为治疗组和对照组，每组60例，骨折节段均为T12-L2。观察组采用经皮椎体成形术治疗，对照组采用腰椎后路切开复位椎弓根钉内固定术，术后常规对症治疗，并随访2年，观察并比较两组手术并发症发生情况、椎体前缘高度、Cobb角和相邻椎间盘退变情况，并采用统计学软件进行分析。结果观察组无一例发生术后并发症，对照组2例出现脑脊液漏，对症治疗后缓解。末次随访发现观察组椎间盘退变指数(75.26±2.41)，低于对照组(88.25±2.57)，其差异有统计学意义(P<0.05)。而两组椎体前缘高度和Cobb角差异无统计意义(P>0.05)。结论胸腰段压缩性骨折患者行经皮椎体成形术后并发症发生率低，脊柱退变程度小，是一种有效的治疗手段。
목적：비교경피추체성형술화절개복위추궁근정내고정치료흉요단추체압축성골절적림상료효。방법회고성분석해원2009년1월-2012년7월간수치적추체압축성골절환자120례，수궤분위치료조화대조조，매조60례，골절절단균위T12-L2。관찰조채용경피추체성형술치료，대조조채용요추후로절개복위추궁근정내고정술，술후상규대증치료，병수방2년，관찰병비교량조수술병발증발생정황、추체전연고도、Cobb각화상린추간반퇴변정황，병채용통계학연건진행분석。결과관찰조무일례발생술후병발증，대조조2례출현뇌척액루，대증치료후완해。말차수방발현관찰조추간반퇴변지수(75.26±2.41)，저우대조조(88.25±2.57)，기차이유통계학의의(P<0.05)。이량조추체전연고도화Cobb각차이무통계의의(P>0.05)。결론흉요단압축성골절환자행경피추체성형술후병발증발생솔저，척주퇴변정도소，시일충유효적치료수단。
Objective To compare the clinical efficacy between percutaneous vertebroplasty and open reduction and internal fixa-tion in the treatment of thoracolumbar compression fracture. Methods 120 cases with vertebral compression fractures admitted in our hospital from January 2009 to July 2012 were randomly divided into the treatment group and the control group, each group of 60 cases, fracture segments were T12-L2. The observation group was treated with percutaneous vertebroplasty, and the control group was treated with lumbar posterior open reduction and pedicle screw internal fixation. The patients were given routine symp-tomatic treatment postoperatively, and followed up for 2 years. The incidence of complications, anterior vertebral height, Cobb an-gle and the adjacent intervertebral disc degeneration of the two groups were observed and compared, and analyzed by statistical software. Results There was no one with postoperative complications in the observation group, while 2 cases with cerebrospinal flu-id leakage in the control group but relieved after symptomatic treatment. It was found by the last follow-up that the index of inter-vertebral disc degeneration of the observation group was (75.26±2.41), lower than (88.25±2.57) of the control group, the difference was statistically significant (P<0.05). There were no statistically significant differences in anterior vertebral height and Cobb angle between the two groups (P>0.05). Conclusion For patients with thoracolumbar compression fractures, the incidence of postopera-tive complications of percutaneous vertebroplasty is lower, the degree of spinal degeneration is smaller, which is an effective means of treatment.