| 摘要: |
| 目的：探讨胸腰椎骨折患者行骨折复位术后应用椎弓根椎体内植骨的临床效果。方法：回顾性分析我院2016年3月至2018年3月收治的、符合纳入标准的胸腰椎骨折患者60例,均行椎弓根椎体内植骨治疗。所有患者均随访1年。收集并分析所有患者椎体高度比、植入骨块、骨缺损相对面积情况。结果：患者术后即刻与术后1年椎体前缘高度比及椎体后缘高度比均高于术前,差异具有统计学意义(P<0.05)；患者术后即刻与术后1年椎体前缘高度比及椎体后缘高度比差异均无统计学意义(P>0.05)；患者椎体前缘高度比丢失与椎体后缘高度比丢失差异无统计学意义(P>0.05)；患者术后6个月植入骨块及骨缺损相对面积均低于术后即刻,差异具有统计学意义(P<0.05)；患者术后1年植入骨块及骨缺损相对面积均低于术后6个月及术后即刻,差异具有统计学意义(P<0.05)。结论：经椎弓根椎体内植骨能较好的减少矫正度丢失,但无法使椎体内空隙恢复。 |
| 关键词: 椎弓根椎体内植骨 胸腰椎骨折 骨折复位术后 矫正度丢失 |
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| Clinical effect of bone graft in vertebral pedicle vertebra after fracture reduction in patients with thoracolumbar fracture |
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Liu Jie1,2,3
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1.Zhengzhou people'2.'3.s Hospital,Department of Bone
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| Abstract: |
| objective: to explore the clinical effect of bone graft in vertebral pedicle vertebra after fracture reduction in patients with thoracolumbar fracture. Methods: a retrospective analysis was performed on 60 cases of thoracolumbar fractures treated in our hospital from March 2016 to March 2018, all of which were treated by internal bone grafting of pedicle vertebra. All patients were followed up for 1 year. The vertebral height ratio, bone graft and relative area of bone defect were collected and analyzed. Results: immediately after surgery, and 1 year after surgery, the height ratio of vertebral anterior edge and the height ratio of vertebral posterior edge were all higher than that before surgery, and the difference was statistically significant (P<0.05). There was no statistically significant difference in the height ratio of vertebral anterior edge and the height ratio of vertebral posterior edge between immediate and 1 year after surgery (P>0.05). There was no statistically significant difference between the loss of anterior edge height ratio and the loss of posterior edge height ratio (P>0.05). The bone mass and the relative area of bone defect were all lower than immediately after the operation 6 months after the operation, and the difference was statistically significant (P<0.05). The bone mass and the relative area of bone defect were all lower than 6 months after the operation and immediately after the operation, and the difference was statistically significant (P<0.05). Conclusion: bone grafting in vertebral pedicle can reduce the loss of correction, but can not restore the vertebral space. |
| Key words: vertebral pedicle bone graft Thoracolumbar fractures After fracture reduction Loss of correction |
