椎体加椎间植骨融合术在腰椎爆裂性骨折患者中的应用效果与安全性探究

目的:探讨椎体加椎间植骨融合术在治疗腰椎爆裂性骨折患者中的临床效果及安全性。方法:选取2016年12月～2017年10月我院骨科收治的腰椎爆裂性骨折患者90例,按照手术方式将患者分成研究组和对照组,每组45例。研究组给予后路内固定术联合椎体加椎间植骨术治疗,对照组给予后路内固定术联合后外侧植骨术治疗。比较两组患者的手术时间、手术出血量以及术后3个月和12个月的椎体Cobb角、患者术后骨折愈合情况、内固定有效情况。结果:研究组手术时间、术中出血量、术后3个月和12个月椎体Cobb角明显短于或低于对照组,但骨折愈合率、内固定有效率显著高于对照组,组间差异均有统计学意义(P0.05)。结论:椎体加椎间植骨融合术治疗腰椎爆裂性骨折的临床综合效果显著优于后路内固定术联合后外侧植骨术治疗,且安全性较好。

Exploration of the Application Effect and Safety of Vertebral Body and Interbody Fusion for the Patients with Lumbar Burst Fracture

ABSTRACT Objective: To investigate the clinical efficacy and safety of vertebral body fusion with interbody fusion in the treatment of lumbar burst fractures. Methods: 90 patients with lumbar burst fractures treated in the department of orthopaedics from December 2016 and October 2017 were chosen. According to their surgical method, the patients were divided into the study group and the control group with 45 patients in each group. The study group was given posterior internal fixation with vertebral body and interbody fusion. The control group was given posterior internal fixation and posterolateral bone grafting. The operation time, the amount of blood loss, the Cobb angle of the vertebral body at 3 months and 12 months after operation, the fracture healing of the patient, and the effective condi- tion of internal fixation were compared between two groups. Results: The operativeon time, the amount of intraoperative blood loss, the vertebral Cobb angle at 3 months and 12 months after surgery of study group were significantly lower than those of the control group(P<0.05). The fracture healing rate and internal fixation efficiency were significantly better than those of the control group(P<0.05). Conclusion: The clinical comprehensive effect of vertebral body and interbody fusion for the treatment of lumbar burst fractures is much bet- ter than posterior internal fixation and posterolateral bone grafting, and it is also a safety method.