可注射骨水泥型椎弓根螺钉对脊柱退变性疾病的疗效分析

摘要

Objective To explore the effects of injectable bone cement type pedicle screw on degenerative spinal disease.Methods A total of 80 patients with degenerative spinal disease were selected and randomly divided into an observation group(n=41) and a control group (n=39).The observation group was treated with injectable bone cement type pedicle screw and the control group with traditional pedicle screw.The perioperative parameters,preoperative and postoperative JOA and ODI scores,the height of the intervertebral space and the height of the loss at each stage of the operation in the two groups were observed and recorded to evaluate the effects of injectable bone cement type pedicle screw on degenerative spinal disease.Results The time of operation,the amount of bleeding during operation and the length of stay (LOS) between the two groups showed no statistical difference (P ＞ 0.05);the preoperative JPA and ODI scores between the two groups had no significant difference (P ＞ 0.05);six months after the operation,the JOA scores in the two groups increased,while ODI scores decreased and the improvement in the observation group was greater than that in the control group (P ＜ 0.05).The preoperative height of the intervertebral space between the two groups had no difference (P ＞ 0.05);three and six months after the operation,the height of the intervertebral space in the two groups decreased,however,six months after the operation,the height of the intervertebral space in the observation group was higher and the height of the loss lower than that in the control group (P ＜ 0.05).Conclusion Injectable bone cement type pedicle screw has good effects on the treatment of degenerative spinal disease.After the operation,the spinal function of patients will be improved obviously and chronic pain symptoms relieved.It is worthy of clinical popularization and application.%目的 探讨可注射骨水泥型椎弓根螺钉对脊柱退变性疾病的疗效.方法 选取80例脊柱退变性疾病患者,随机分为两组,观察组(41例)采用可注射骨水泥型椎弓根螺钉治疗,对照组(39例)采用传统椎弓根螺钉治疗,观察记录两组围手术期指标、术前术后JOA和ODI评分、手术各阶段的椎间隙高度及丢失高度,评价可注射骨水泥型椎弓根螺钉对脊柱退变性疾病的疗效.结果 两组手术时间、术中出血量和住院时间相比,无统计学差异(P＞0.05);两组术前JOA和ODI评分没明显差异(P＞0.05);术后6个月,两组JOA评分升高,而ODI评分降低,且观察组的改善幅度大于对照组(P＜0.05);术前两组椎间隙高度比较无统计学差异(P＞0.05),术后3和6个月,两组椎间隙高度均增加,但在术后6个月时,与对照组比较,观察组椎间隙高度更高,丢失高度更小(P＜0.05).结论 可注射骨水泥型椎弓根螺钉治疗脊柱退变性疾病具有较好的治疗效果,术后患者脊柱功能改善明显,慢性疼痛症状减轻,值得临床推广使用.