中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
15期
2292-2294
,共3页
脊柱骨折%腰椎%骨折固定术,内%钉棒%神经功能
脊柱骨摺%腰椎%骨摺固定術,內%釘棒%神經功能
척주골절%요추%골절고정술,내%정봉%신경공능
Spinal fractures%Lumbar vertebrae%Fracture fixation,internal%Nerve function
目的 观察后路钉棒内固定对腰椎骨折患者神经功能和椎体指标的改善.方法 32例腰椎骨折患者采用后路钉棒内固定治疗,根据术前脊髓神经损伤Frankel评定分级:A级1例,B级7例,C级12例,D级12例,E级0例,术前Cobb角为(28.1±3.9)°,伤椎前缘高度比(44.3±9.2)％.比较治疗前后患者神经功能和椎体指标.结果 平均随访22.3个月.脊髓神经损伤Frankel评定分级:A级1例,B级3例,C级9例,D级15例,E级4例；术后神经功能均有提高(均P＜0.05)；术后Cobb角为(4.7±0.8)°,伤椎前缘高度比(82.3±12.7)％,术后伤椎前缘高度比和Cobb角均有改善(均P＜0.01).结论 后路钉棒内固定可以明显改善腰椎骨折患者的神经功能和椎体指标.
目的 觀察後路釘棒內固定對腰椎骨摺患者神經功能和椎體指標的改善.方法 32例腰椎骨摺患者採用後路釘棒內固定治療,根據術前脊髓神經損傷Frankel評定分級:A級1例,B級7例,C級12例,D級12例,E級0例,術前Cobb角為(28.1±3.9)°,傷椎前緣高度比(44.3±9.2)％.比較治療前後患者神經功能和椎體指標.結果 平均隨訪22.3箇月.脊髓神經損傷Frankel評定分級:A級1例,B級3例,C級9例,D級15例,E級4例；術後神經功能均有提高(均P＜0.05)；術後Cobb角為(4.7±0.8)°,傷椎前緣高度比(82.3±12.7)％,術後傷椎前緣高度比和Cobb角均有改善(均P＜0.01).結論 後路釘棒內固定可以明顯改善腰椎骨摺患者的神經功能和椎體指標.
목적 관찰후로정봉내고정대요추골절환자신경공능화추체지표적개선.방법 32례요추골절환자채용후로정봉내고정치료,근거술전척수신경손상Frankel평정분급:A급1례,B급7례,C급12례,D급12례,E급0례,술전Cobb각위(28.1±3.9)°,상추전연고도비(44.3±9.2)％.비교치료전후환자신경공능화추체지표.결과 평균수방22.3개월.척수신경손상Frankel평정분급:A급1례,B급3례,C급9례,D급15례,E급4례；술후신경공능균유제고(균P＜0.05)；술후Cobb각위(4.7±0.8)°,상추전연고도비(82.3±12.7)％,술후상추전연고도비화Cobb각균유개선(균P＜0.01).결론 후로정봉내고정가이명현개선요추골절환자적신경공능화추체지표.
Objective To observe the effects of posterior screw and rod fixation on nerve function and vertebral indicators in patients with lumbar vertebral fracture.Methods The clinical data of 32 cases with lumbar vertebral fracture were analyzed retrospectively.According to Frankle grading:grade A 1 case ;grade B 7 cases;grade C 12 cases ;grade D 12 cases.All the patients were treated by posterior screw and rod fixation.The nerve function and vertebral indicators were compared.Results Followed-up for 22.3 months,according to Frankle grading:grade A 1 case;grade B 3 cases;grade C 9 cases;grade D 15 cases;grade E 4 cases.The nerve functions were improved after operation.There was a significant difference between before and after treatment (all P ＜ 0.05).The the height of the front edge of the fractured vertebral and cobb angle were improved after operation (all P ＜ 0.01).Conclusion Posterior screw and rod fixation can significantly improve nerve function and vertebral indicators in patients with lumbar vertebral fracture.
