经椎旁肌间隙入路伤椎植骨内固定治疗胸腰椎爆裂性骨折的临床疗效观察

目的：探讨经椎旁肌间隙入路伤椎植骨内固定治疗胸腰椎爆裂性骨折的临床疗效。方法回顾性分析我院2010年5月～2013年5月间收治的32例胸腰椎爆裂性骨折患者的临床资料，所有患者均行经椎旁肌间隙入路伤椎植骨内固定治疗，随访观察手术后的治疗效果。结果本组32例患者平均手术时间为（76.4±4.7）min，术中平均出血量为（152.7±12.6）mL，患者手术治疗后的伤椎前缘高度及矢状面Cobb角均较手术治疗后有显著改善，差异有统计学意义（P＜0.05）。术后患者切口均为Ⅰ期愈合，术后未发生明显近期及远期并发症。结论经椎旁肌间隙入路伤椎植骨内固定治疗胸腰椎爆裂性骨折安全可行，疗效较好，值得临床推广使用。

Clinical effect observation of vertebral bone grafting and internal fixation with paraspinal muscle approach in treatment of thoracolumbar burst fracture

Objective To explore the clinical effect observation of vertebral bone grafting and internal fixation with paraspinal muscle approach in treatment of thoracolumbar burst fracture. Methods A retrospective analysis about clinical data of 32 cases with thoracolumbar burst fracture in our hospital was operated, all cases underwent vertebral bone grafting and internal fixation with paraspinal muscle approach treatment, followed up after operation. Results In 32 cases, the average operation time was （76.4±4.7） min, the mean intraoperative bleeding was （152.7±12.6） mL, anterior vertebral height and sagittal Cobb were better than before, the difference was statistically significant （P〈0.05）. All incisions were healed well after operation, there were no significant complications. Conclusion Taking vertebral bone grafting and internal fixation with paraspinal muscle approach in treatment of thoracolumbar burst fracture is safe and feasible, and has good effect, worthy of clinical use.