后路经单侧椎弓根植入自体骨联合同种异体骨对胸腰段椎体爆裂性骨折患者术后恢复的影响
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摘要
目的分析后路经单侧椎弓根植入自体骨联合同种异体骨对胸腰段椎体爆裂性骨折患者术后恢复的影响。方法选取本院收治的胸腰段椎体爆裂性骨折患者240例,采用随机数字表法将其分为对照组及观察组,各120例。对照组后路经单侧椎弓根置入同种异体骨,观察组后路经单侧椎弓根植入自体骨联合同种异体骨。比较两组患者手术效果及术后功能恢复情况。结果手术后,两组患者椎体前缘高度增加,椎管占位率下降,伤椎Cobb角减小,且观察组优于对照组,差异有统计学意义(P<0.05)。观察组术后植骨融合率为96.67%,明显高于对照组的65.00%(P<0.05)。手术后10个月,两组患者ODI及VAS评分均降低,且观察组低于对照组(P<0.05)。结论后路经单侧椎弓根植入自体骨联合同种异体骨治疗胸腰段椎体爆裂性骨折,患者术后植骨融合率较高,椎体高度恢复良好。
Objective To analyze the effect of posterior implantation with autologous bone and allogeneic bone through unilateral pedicle on postoperative recovery of patients with thoracolumbar burst fractures. Methods A total of 240 patients with thoracolumbar vertebral burst fracture admitted in our hospital were selected and divided into control group and observation group by random number table method, with 120 cases in each group. The control group received posterior implantation of allogenic bonethrough unilateral pedicle, while the observation group adopted posterior implantation with autologous bone and allogeneic bone through unilateral pedicle. The operation effects and functional recovery were compared between the two groups. Results After operation, the anterior height of vertebral body increased, the occupancy rates of vertebral canal decreased, and the Cobb angle of injured vertebra decreased in the two groups, and those of the observation group were better than the control group(P<0.05). The fusion rate of bone graft was 96.67% in the observation group, which was significantly higher than 65.00% in the control group(P<0.05). At 10 months after operation, the scores of ODI and VAS in both groups decreased, and those of the observation group were lower than the control group(P<0.05).Conclusion Posterior implantation with autologous bone and allogeneic bone through unilateral pedicle in the treatment of patients with thoracolumbar burst fractures has high fusion rate and good recovery of vertebral height.
Objective To analyze the effect of posterior implantation with autologous bone and allogeneic bone through unilateral pedicle on postoperative recovery of patients with thoracolumbar burst fractures. Methods A total of 240 patients with thoracolumbar vertebral burst fracture admitted in our hospital were selected and divided into control group and observation group by random number table method, with 120 cases in each group. The control group received posterior implantation of allogenic bonethrough unilateral pedicle, while the observation group adopted posterior implantation with autologous bone and allogeneic bone through unilateral pedicle. The operation effects and functional recovery were compared between the two groups. Results After operation, the anterior height of vertebral body increased, the occupancy rates of vertebral canal decreased, and the Cobb angle of injured vertebra decreased in the two groups, and those of the observation group were better than the control group(P<0.05). The fusion rate of bone graft was 96.67% in the observation group, which was significantly higher than 65.00% in the control group(P<0.05). At 10 months after operation, the scores of ODI and VAS in both groups decreased, and those of the observation group were lower than the control group(P<0.05).Conclusion Posterior implantation with autologous bone and allogeneic bone through unilateral pedicle in the treatment of patients with thoracolumbar burst fractures has high fusion rate and good recovery of vertebral height.
引文
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[4]程继伟,王振林,刘伟,等.Oswestry功能障碍指数的改良及信度和效度检验[J].中国脊柱脊髓杂志,2017,27(3):235-241.
[5]伏永艳.疼痛评分表的制作与临床应用[J].护理实践与研究,2016,13(12):137-138.
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[9]王振昊,彭磊,刘建莉,等.自体骨联合同种异体骨与同种异体骨在治疗胸腰椎爆裂骨折中的疗效差异[J].中国矫形外科杂志,2016,24(14):1278-1282.