前路减压内固定治疗胸腰段骨折伴脊髓损伤疗效评价

摘要

Objective To investigate the effect of anterior decompression and internal fixation on the motor function of pa-tients with thoracolumbar fracture plus spinal cord injury.Methods Eighty patients with thoracolumbar fracture plus spinal cord injury were randomly divided into Group A treated by anterior decompression and internal fixation ,and Group B treated by posterior spinal fusion operation ,with 40 cases in each group.Clinical effect in both group were observed ,and FIM ,ASIS and MBI were applied to assess the efficacy before and after the treatment.Results The total effective rate in Group A was 97.50% ,while that in Group B was 75.00% ,with a significant difference (P<0.05). The scores of ASIS motor function , ASIS sense ,FIM and MBI in both groups were increased after treatment ,while the scores of ASIS ,FIM and MBI after treat-ment in Group A were significantly higher than those in Group B (P<0.05). Conclusion Anterior decompression and internal fixation is effective in improving the motor function and clinical effect of patients with thoracolumbar fracture plus spinal cord injury.%目的：探讨前路减压内固定对胸腰段骨折并发脊髓损伤患者运动功能的影响。方法将80例胸腰段骨折并发脊髓损伤患者分为前路减压内固定组（观察组）及后路融合手术组（对照组）各40例。观察2组患者治疗效果，并于治疗前后应用功能独立性评分表（FIM）、美国脊髓损伤协会评分（ASIS）、改良Barthel（MBI）评估康复效果。结果观察组总有效率97.50％，对照组为75.00％，2组比较差异有统计学意义（P＜0.05）。2组治疗后ASIS运动功能评分、ASIS感觉评分、FIM评分及MBI评分显著提高，而治疗后观察组 ASIS评分、FIM 评分及 MBI评分均高于对照组，差异有统计学意义（P＜0.05）。结论前路减压内固定手术能有效改善胸腰段骨折合并脊髓损伤患者运动功能，提高治疗效果。