伤椎置钉内固定治疗胸腰椎爆裂性骨折的疗效评价

目的：评价伤椎置钉内固定手术方式治疗胸腰椎爆裂性骨折患者的临床疗效。方法将我科收治的胸腰椎爆裂性骨折患者62例分为两组：跨伤椎传统4钉手术组35例，伤椎置钉手术组27例；分别行相应的手术治疗。对比两组患者术后的治疗效果。结果两组患者在术后伤椎高度、矢状位Cobb’s角、内固定失败并发症率、术后硬膜横截面积的统计学差异具有统计学意义（P〈0.01）。结论与传统术式相比，伤椎置钉内固定手术方式治疗胸腰椎爆裂性骨折可以获得更好的临床疗效，具有临床推广应用价值。

A clinical control study of screws through fractured pedical arch operat-ing method versus traditional operating method for thoracolumbar burst fracture

Objective To compare the clinical effect of the two operating methods： screws through fractured pedical arch operating method versus traditional operating method in the treatment of thoracolumbar burst fractures, to confirm the clinical advantages of screws through fractured pedical arch operating method in the treatment of thoracolumbar fractures. Methods A total of 62 cases suffered from thoracolumbar burst fractures were divided into two groups：screws through fractured pedical arch operating method group （n=27） and traditional operating method group （n=35）. Each group was undergone the corresponding operation. The clinical results were evaluated between two groups. Results Patients in the screws through fractured pedical arch group by contrast to traditional group, margin height, Cobb＇s angle, internal fixation failure rates and area of vertebral canal were different, there was significant differences （P〈0.01）. Conclusion Screws through fractured pedical arch operating method had many advantages, which had a promising clinical applica-tion in the treatment of thoracolumbar burst fractures.