论文部分内容阅读
目的观察骨水泥强化椎弓根内固定对骨质疏松性脊柱骨折的治疗效果。方法 74例骨质疏松性脊柱骨折,抽签分为对照组(单纯椎弓根内固定)和观察组(骨水泥强化椎弓根内固定),各37例,比较两组患者的治疗效果。结果对照组术中出血(223.65±6.35)ml、手术时间(130.29±4.70)min与观察组的(225.66±5.72)ml、(132.96±5.55)min比较差异无统计学意义(P>0.05);观察组术后疼痛评分(2.50±0.62)分、椎体高度(28.39±7.88)mm、内固定物的稳定性(10.54±3.78)均优于对照组的(4.58±1.40)分、(17.60±7.65)mm、(8.12±3.53),差异具有统计学意义(P<0.05)。结论骨质疏松性脊柱骨折接受骨水泥强化椎弓根内固定治疗,疗效佳,建议推广。
Objective To observe the therapeutic effect of bone cement enhanced pedicle screw fixation on osteoporotic spinal fractures. Methods 74 cases of osteoporotic spine fractures were randomly divided into control group (simple pedicle screw fixation) and observation group (bone cement enhanced pedicle screw fixation), 37 cases in each group. The therapeutic effect was compared between the two groups. Results The intraoperative bleeding (223.65 ± 6.35) ml and the operative time (130.29 ± 4.70) min in the control group were not significantly different from those in the observation group (225.66 ± 5.72) ml and (132.96 ± 5.55) min, respectively (P> 0.05). Postoperative pain score (2.50 ± 0.62), vertebral body height (28.39 ± 7.88) mm and stability of internal fixation (10.54 ± 3.78) in observation group were significantly higher than those in control group (4.58 ± 1.40) and (17.60 ± 7.65) mm, (8.12 ± 3.53), the difference was statistically significant (P <0.05). Conclusions Osteoporotic spine fractures are treated with bone cement enhanced pedicle screw fixation. The curative effect is good and it is recommended to be popularized.