非手术方法治疗胸腰椎压缩性骨折的疗效观察

目的 探讨非手术方法治疗胸腰椎压缩性骨折的临床效果。方法 ７１例胸腰椎压缩性骨折患者，分为石膏外固定法、垫枕练功法、弹性支架外固定法３组治疗。均测量治疗前、后Ｘ线片上的椎体前高度，并进行比较分析。结果 随访５６例，时间１～５年。经３种非手术方法治疗后，压缩椎体的椎前高度明显恢复（Ｐ〈０．０１）。但难以恢复至正常高度，弹性外固定治疗法疗效明显优于石膏外固定（Ｐ〈０．０５）。结论 过伸体位复位法能明显

Non surgical treatment of compression fracture of thoracolumbar vertebra

Objective To study non surgical methods for the treatment of compression fracture of thoracolumbar vertebra.Methods 71 cases of compression fracture of thoracolumbar vertebra were divided into three groups:plaster exopexy group,pillow elevation and extension exercises group and elastic external fixation brace.The radiographic films of pre and post operation were taken.The anterior heights of the vertebra bodies of all the cases were measured on the radiographic films.Results 56 cases were followed up from 1 to 5 years.After treatment with the three methods,the anterior heights of the compressed vertebral bodies recovered significantly (P<0.01),but it was difficult to recover to normal standard.The clinical results of elastic external fixation brace were more excellent than that treated with plaster exopexy (P<0.05).Conclusion Hyperextendible postural reduction can make compressed vertebra recover to anatomic structure obviously.The elastic external fixation brace is one of the ideal conservative treatment methods.