伤椎固定保留后方韧带复合体联合后路伤椎植骨短节段固定在胸腰椎骨折患者中的应用效果

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Abstract Objective To investigate the application effect of traumatic vertebral fixation with posterior ligament complex preservation combined with posterior vertebral bone graft and short segment fixation in patients with thoracolumbar fracture. Methods The clinical data of 32 patients with thoracolumbar fracture admitted to our hospital from November 2017 to June 2019 were retrospectively analyzed. According to different treatment methods, they were divided into study group (16 cases) and control group (16 cases). The control group was treated with injured vertebra fixation and preservation of posterior ligament complex. The study group was treated with injured vertebra fixation and preservation of posterior ligament complex. The treatment of syndesmosis combined with posterior vertebral bone graft and short segment fixation. The clinical effect and complications were compared between the two groups. Results The total effective rate of the study group was higher than that of the control group, and the difference was statistically significant (P＜0.05). The total incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant (P＜0.05). The time of operation, time of getting out of bed and time of hospitalization in the study group were shorter than those in the control group, and the amount of intraoperative blood loss was less than that in the control group, with statistically significant differences (P＜0.05). Conclusion For patients with thoracolumbar fractures, the treatment effect is ideal, which can effectively reduce the incidence of postoperative complications, reduce the amount of intraoperative blood loss, and shorten the length of hospitalization, which can be popularized and applied clinically.

Key words： Posterior ligament complex preservation Combined treatment Posterior vertebral bone graft and short segment fixation Thoracolumbar fracture Complications

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	WANG De-chun
	LIN Yong-bin

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WANG De-chun,LIN Yong-bin. Application effect of posterior ligament complex preservation combined with posterior vertebral bone graft and short segment fixation in patients with thoracolumbar fracture[J]. 中国当代医药, 2020, 27(16): 41-43转62.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I16/41

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