摘要
目的探讨保守治疗和手术治疗对稳定型胸腰椎爆裂骨折的疗效。方法将我院收治的90例稳定型胸腰椎爆裂骨折患者随机分为对照组与观察组,各45例。对照组给予短节段固定+后外侧植骨融合,观察组给予保守治疗。比较两组的治疗效果。结果治疗后3个月及末次随访时,两组的伤椎前缘高度均高于治疗前,伤椎后凸角均低于治疗前(P<0.05);末次随访时,两组的VAS、ODI评分均降低,ADL评分均升高,且观察组优于对照组(P<0.05)。结论保守治疗与手术方式均可有效治疗稳定型胸腰椎爆裂性骨折,临床上应根据患者的病情实际情况选择相对合理的方案。
Objective To explore the curative effect of conservative treatment and surgical treatment on stable thoracolumbar burst fracture. Methods A total of 90 patients with stable thoracolumbar burst fracture admitted in our hospital were randomly divided into control group and observation group, with 45 cases in each group. The control group was given short segmental fixation +posterior lateral bone graft fusion, and the observation group was given conservative treatment. The treatment effects were compared between two groups. Results After 3 months of treatment and the last follow-up, the height of the anterior edge of the injured vertebrae in the two groups were higher than those before treatment, the convex angle of the injured vertebrae were lower than those before treatment(P<0.05);at the last follow-up, the scores of VAS and ODI in the two groups decreased, and the ADL score increased, and those in the observation group were better than the control group(P <0.05). Conclusion Conservative treatment and operation can effectively treat the stable thoracolumbar burst fracture. A relatively reasonable plan should be choosed according to the actual situation of patients in clinic.
作者
索志臻
张清涛
SUO Zhi-zhen;ZHANG Qing-tao(the Hospital of DanfengCounty,Shangluo 726200;Traditional Chinese Medicine Hospital of Mei County,Baoji 722300,China)
出处
《临床医学研究与实践》
2019年第35期72-73,共2页
Clinical Research and Practice
关键词
稳定型胸腰椎爆裂骨折
保守治疗
短节段固定
stable thoracolumbar burst fracture
conservative treatment
short segment fixation
