经单侧椎弓根内侧壁切除椎管前方减压后路复位固定术治疗胸腰椎爆裂骨折有效性观察

摘要

Objective To investigate the effectiveness by the analysis of unilateral pedicle medial wal resection of anterior decompression by posterior reduction and fixation in the treatment of thoracolumbar burst fracture. Methods 32 patients with thoracolumbar burst fracture from June 2013 to June 2014 were selected. The control group was given through the injured pedicle of vertebral arch screw reduction and fixation of the posterior operation. Experimental group received treatment by unilateral pedicle medial wal resection of anterior decompression by posterior reduction and fixation. Results The experimental group of sagittal diameter of spinal canal restoration significantly was better than the control group. Conclusion The reconstruction of spinal physiological curvature and stability can be get for patients with thoracolumbar burst fracture with unilateral pedicle medial wal resection of anterior decompression by posterior reduction and fixation for treatment.%目的：分析经单侧椎弓根内侧壁切除椎管前方减压后路复位固定术治疗胸腰椎爆裂骨折有效性。方法选取2013年6月～2014年6月收治的32例胸腰椎爆裂骨折患者，以随机方式将其分成实验组和对照组。对照组给予经伤椎椎弓根置钉后路复位固定手术，实验组给予经单侧椎弓根内侧壁切除椎管前方减压后路复位固定术进行治疗，并将两组患者的临床疗效进行比较。结果两组患者手术时间、术中出血量、伤椎前缘高度及相邻椎Coob角纠正等指标均无差异，但实验组患者椎管矢状径的恢复方面优于对照组。结论对于胸腰椎爆裂骨折患者应用单侧椎弓根内侧壁切除椎管前方减压后路复位固定术进行治疗，可以重建脊柱的生理曲度以及稳定性。