经伤椎椎弓根螺钉固定治疗脊柱骨折的疗效及对患者疼痛、Cobb角的影响

目的:探讨经伤椎椎弓根螺钉固定治疗脊柱骨折的疗效及对患者疼痛、Cobb角的影响。方法:选择2013年2月至2018年2月我院接诊的脊柱骨折患者80例作为研究对象,以随机数表法分为观察组(n=41)和对照组(n=39)。对照组采用跨伤椎固定治疗,观察组采用经伤椎椎弓根螺钉固定治疗。比较两组患者临床手术指标、日本骨科协会评估治疗(JOA)评分、视觉模拟评分(VAS)、椎体压缩率、Cobb角水平及伤椎椎体高度。结果:观察组患者手术时间、术中出血量及住院时间均显著低于对照组(P0.05);治疗后,两组患者JOA评分、VAS评分均明显改善(P0.05),且观察组患者VAS评分显著低于对照组(P0.05);治疗后,两组患者椎体压缩率、Cobb角水平均明显改善(P0.05),且观察组患者椎体压缩率、Cobb角水平显著低于对照组(P0.05);两组患者治疗前椎体前、后缘高度无明显差异;治疗后,两组患者椎体前、后缘高度均明显改善(P0.05),且观察组患者椎体前、后缘高度显著高于对照组(P0.05)。结论:脊柱骨折患者采用经伤椎椎弓根螺钉固定治疗栓效果显著,可改善患者疼痛、Cobb角水平,值得临床推广。

Curative Efficacy of Fixation by Pedicle Screw of the Injured Vertebrae in Treatment of Spinal Fracturesand Its Effectson Pain and Cobb Angle in Patients

ABSTRACT Objective: To study Curative efficacy of Fixation by pedicle screw of the injured vertebrae in treatment of Spinal fracturesand its effectson pain and Cobb Angle in patients. Methods: 80 patients with spinal fractures admitted to our hospital from February 2013 to February 2018 were selected as the research objects, were divided into observation group (n=41) and control group (n=39) by random number table method. The control group was treated with transvertebral fixation, and the observation group was treated with transvertebral pedicle screw fixation. Clinical indexes, JOA score, VAS score, vertebral compression rate, Cobb Angle level and vertebral height were compared between the two groups. Results: The operation time, intraoperative blood loss and hospital stay in the observation group were significantly lower than those in the control group (P<0.05). After treatment, JOA score and VAS score in both groups were significantly improved (P<0.05), and the VAS score in the observation group was significantly lower than that in the control group (P<0.05). After treatment, the vertebral compression rate and Cobb Angle level in both groups were significantly improved (P<0.05), and the vertebral compression rate and Cobb Angle level in the observation group were significantly lower than those in the control group (P<0.05). There was no significant difference in the height of anterior and posterior vertebral body between the two groups. After treatment, the height of the anterior and posterior vertebral margins in both groups was significantly improved (P<0.05), and the height of the anterior and posterior vertebral margins in the observation group was significantly higher than that in the control group (P<0.05). Conclusion: Transpedicular pedicle screw fixation is effective in the treatment of spinal fractures, and can improve the level of pain and Cobb Angle in patients, which is worthy of clinical promotion.