椎体支柱块治疗胸腰椎骨折的早期临床疗效分析

摘要

Objective To investigate the early clinical effect of vertebral pillar block in treatment of thoracolumbar fracture. Methods From 2009 to 2011, 19 cases ( 7 male and 12 female ) with thoracolumbar fracture were treated with vertebral pillar block, and the patients aged from 24 to 70. The vertebral anterior border compression ratio and the Cobb' s angle pre-and postoperative were observed. Results The difference of Cobb' s angle between postoperative 1 month ( 11.31° ±0. 50° ) and 3 month ( 10. 92° ±0. 47° ) wasn' t statistically significant ( P >0. 05 ). Compared with pre-operation, the vertebral anterior border compression ratio were significantly improved ( P < 0.05 ), but the difference between postoperative 1 month and 3 month wasn't statistically significant ( P >0. 05 ). Conclusion The vertebral pillar block is effective in treatment of Ⅱ or Ⅲ grade thoracolumbar fracture. It can relieve pain and has functional exercise satisfactory results but no secondary collapse.%目的 探讨分析椎体支柱块技术在胸腰椎压缩性骨折治疗中的早期疗效.方法 2009~2011年本院共有19例胸腰椎压缩性骨折患者行椎体支柱块手术治疗,其中男7例,女12例;年龄为27~70岁.患者均随访3个月以上,复查CT,测量术前、术后1个月和3个月椎体前缘压缩比及Cobb角.结果 术后患者疼痛症状明显缓解,术后1个月Cobb角恢复至11.31°±0.50°,术后3个月为10.92°±0.47°,两者差异无统计学意义(P＞0.05).术前伤椎前后缘高度比为(50.73±7.46)%,术后1个月为(93.05±3.22)%,术后3个月为(92.11±3.59)%,手术前后伤椎前后缘高度比的差异有统计学意义(P＜0.05).结论 支柱块技术在Ⅱ度或Ⅲ度胸腰椎压缩性骨折的运用中恢复了伤椎前中柱的高度及脊椎整体的生理弧度,无继发性塌陷,有效缓解疼痛,早期功能锻炼,早期疗效满意.