微创经皮椎弓根置钉治疗无神经损伤胸腰椎骨折的效果研究

目的研究无神经损伤胸腰椎骨折患者采用微创经皮椎弓根置钉技术进行治疗的临床效果。方法选取2018年3月至2020年3月本院收治的无神经损伤胸腰椎骨折患者68例作为研究对象,采用随机数字表法分为对照组与治疗组,各34例。对照组实施常规开放经椎弓根螺钉固定术进行治疗,治疗组采用微创经皮椎弓根置钉技术进行治疗,比较两组临床疗效。结果治疗组患者操作期间出血量低于对照组,差异有统计学意义(P<0.05);治疗组手术切口长度、手术时间短于对照组(P<0.05);治疗组手术后疼痛程度、生活质量评分改善程度优于对照组,差异有统计学意义(P<0.05);治疗组治疗后伤椎前缘高度、Cobb角水平与对照组比较差异无统计学意义;两组治疗总有效率比较差异无统计学意义;治疗组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论微创经皮椎弓根置钉技术治疗无神经损伤胸腰椎骨折患者,可降低操作期间出血量,减小手术切口,缩短手术时间,并降低术后并发症发生率,改善疼痛程度以及伤椎状态,提高治疗总有效率。

Effect of minimally invasive percutaneous pedicle screw placement in the treatment of thoracolumbar fractures without nerve injury

Objective To study the clinical effect of minimally invasive percutaneous pedicle screw placement in the treatment of thoracolumbar fractures without nerve injury.Methods 68 patients with thoracolumbar fractures without nerve injury admitted to our hospital from March 2018 to March2020 were selected as the research subjects and randomly divided into the control group and the treatment group,with 34 cases in each group.The control group was treated with conventional open pedicle screw fixation,and the treatment group was treated with minimally invasive percutaneous pedicle screw fixation,the clinical effect was compared between two groups.Results The amount of bleeding during operation in the treatment group was lower than that in the control group,the difference was statistically significant(P<0.05);the length of incision and operation time in the treatment group were shorter than those in the control group(P<0.05);the improvement of postoperative pain and quality of life score in the treatment group were better than those in the control group,and the difference was statistically significant(P<0.05);there was no significant difference of the height of anterior edge of injured vertebra and Cobb angle in the treatment group after treatment compared with the control group;there was no significant difference in the total effective rate between the two groups;the incidence of complications in the treatment group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Minimally invasive percutaneous pedicle screw placement in the treatment of patients with thoracolumbar fractures without nerve injury can reduce the amount of blood loss during operation,reduce the surgical incision,shorten the operation time,reduce the incidence of postoperative complications,improve the degree of pain and injured vertebral state,and improve the total effective rate of treatment.