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Clinical effect of m inimally invasive nail p lacement in the treatment of thoracolumbar vertebral com pression fractures |
ZHOU Guo-jin ZENG You-wen ZHONG Sheng-tao |
Department of Orthopaedics,Jinxian County People′s Hospital,Jiangxi Province,Jinxian 331700,China |
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Abstract Objective To investigate the clinical effect of PPSF in the treatment of TLVCF.M ethods Eighty-four patients with TLVCF in Jinxian County People′s Hospital from June 2012 to June 2015 were selected,and they were divided into open group and minimally invasive group according to the treatmentmethods,42 cases in each group,they were treated with open and percutaneous pedicle screw fixation respectively.The treatment effect of patients in the two groups was compared.Results The operation time,length of incision,amount of bleeding and length of stay of theminimally invasive group were significantly less than those of the open group(P<0.05).The VAS score and Oswestry disability index of theminimally invasive group were significantly lower than those of the open group(P<0.05).There was no significant difference between the two groups in the vertebral anterior height ratio and the sagittal plane Cobb′s angle (P>0.05).Conclusion In the treatment of TLVCF,PPSF and traditional open surgery with similar correction effect,but PPSF is less trauma,faster postoperative recovery,and conducive to the postoperative pain and improve the function of the back,it isworthy of recommendation.
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[1] |
林松青,王彬,尤志强,等.胸腰椎压缩性骨折临床疗效评价体系及其应用的研究进展[J].中国中医骨伤科杂志,2015,23(1):76-80.
|
[2] |
周建敏,双鸥,李健,等.微创经皮椎弓根螺钉内固定治疗胸腰椎骨折的效果观察[J].中国当代医药,2014,21(22):48-50.
|
[3] |
罗一.微创经皮椎弓根钉内固定治疗胸腰椎压缩性骨折[J].医学信息,2015,28(22):84.
|
[4] |
Ni WF,Huang YX,Chi YL,et al.Percutaneous pedicle screw fixation for neurologic intact thoracolumbar burst fractures[J].JSpinal Disord Techniques,2010,23(8):530-537.
|
[5] |
李涛,李伟,牛占岭,等.微创经皮椎弓根置钉内固定治疗胸腰椎压缩性骨折[J].中国骨与关节损伤杂志,2013,28(11):1065-1066.
|
[6] |
熊小春,龙亨国,肖曦,等.体外充气复位结合PKP术治疗老年性胸腰椎压缩性骨折130例[J].江西中医药大学学报,2015(2):62-64.
|
[7] |
王飞,张玲芝,朱红芳.目标性干预护理对腰椎椎间融合术患者Oswestry功能障碍指数的影响[J].解放军护理杂志,2011,28(14):1-5.
|
[8] |
杨慎玺.经皮椎体成形术治疗高龄胸腰椎压缩性骨折的效果观察[J].中国当代医药,2015,22(16):79-80.
|
[9] |
单玉良.经皮椎体成形术治疗胸腰椎压缩性骨折临床效果观察[J].山东医药,2011,51(30):61-62.
|
[10] |
吴增志,赖茂松,熊浩,等.微创通道与传统内固定治疗胸腰椎骨折的疗效比较[J].实用骨科杂志,2014,20(10):925-928.
|
[11] |
周成文,牟永山,马惠章,等.微创经皮椎弓根钉固定治疗胸腰椎压缩性骨折[J].实用骨科杂志,2011,17(11):1023-1025.
|
[12] |
林章旺,张毅,孔祥亮,等.经皮椎弓根钉内固定术治疗胸腰椎骨折[J].中国伤残医学,2012,20(10):45-46.
|
[13] |
汪学军,李开南,郑江,等.胸腰段微创椎弓根钉置入的应用解剖[J].中国组织工程研究,2012,16(52):9722-9726.
|
[14] |
Dahdaleh NS,Smith ZA,Hitchon PW.Percutaneous pedicle screw fixation for thoracolumbar fractures[J].Neurosurg Clin Amer,2014,25(2):337-346.
|
[15] |
连保卫,黎建文,朱爱剑,等.微创经皮椎弓根钉固定非融合技术治疗胸腰椎压缩性骨折35例临床观察[J].医学临床研究,2014,31(2):369-370.
|
[16] |
李智,朱庭标,张勇,等.经皮椎弓根钉技术治疗胸腰椎骨折[J].中国骨与关节损伤杂志,2013,28(9):851-852.
|
|
|
|