经椎弓根椎体内植骨治疗老年骨质疏松性脊柱骨折的效果观察.doc

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1、经椎弓根椎体内植骨治疗老年骨质疏松性脊柱骨折的效果观察［摘耍］目的探讨经椎弓根椎体内植骨治疗老年骨质疏松性脊柱骨折的效果。方法选择2013年7月〜2014年3月我科收治的70例老年骨质疏松性脊柱骨折患者作为研究对象，并将其随机分为研究组和对照组，研究组在短节段弓根钉棒系统内固定基础上釆用经椎弓根椎体内植骨治疗，对照组采用短节段弓根钉棒系统内固定治疗。比较两组患者的手术相关临床指标和骨折恢复情况。结果研究组患者术后疼痛评分较对照组低，差异有统计学意义(P<0.05)；研究组末次随访的椎体高度丢失和Cobb角等均优于对照组，差异有统计学意义(P〈0.05)。

2、结论在短节段弓根钉棒系统内固定基础上采用经椎弓根椎体内植骨治疗老年骨质疏松性脊柱骨折术后疼痛较轻、椎体矫正高度和角度丢失较少，有良好的治疗效果,可在临床推广应用。［关键词］骨质疏松；脊柱骨折；老年患者；经椎弓根椎体内植骨［中图分类号］R683.2［文献标识码］A［文章编号］1674-4721(2015)09(a)-0081-03［Abstract］ObjectiveToexploretheeffectoftransvertebralpediclevertebralbodybonegraftinginthetreatmentofelderlyosteopo

3、roticvertebralfracture・Methods70elderlypatientswithosteoporoticvertebralfractureadmittedintoourdepartmentfromJuly2013toMarch2014wereselectedasresearchsubjects.Theywererandomlydividedintoresearchgroupandcontrolgroup・Researchgroupwasgiventransvertebralpediclevertebralbodybonegrafti

4、ngonthebasisofinternalfixationbyshort-segmentpediclescrewrodsystem,andcontrolgroupwasgiveninternalfixationbyshort-segmentpediclescrewrodsystem.Surgery-relatedclinicalindexesandrecoveryoffracturewascomparedinpatientsbetweentwogroupsrespectively.ResultsThescoreofpostoperativepainin

5、researchgroupwaslowerthanthatincontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05)・LossofvertebralheightandCobbangleinthelastfollow-upinresearchgroupwasbothbetterthanthatincontrolgrouprespectively,andthedifferencewasstaitsticallysignificant(P<0.05)・ConelusionOnthebas

6、isofinternalfixationbyshort-segmentpediclescrewrodsystem,applyingtransvertebralpediclevertebralbodybonegraftinginthetreatment,ofelderlyosteoporoticvertebralfracturehasmildpostopeativepainandlesslossofvertebralcorrectionheightandangleforpatients,whichhasagoodcurativeeffectandisabl

7、etobeappliedandpromotedclinically.[Keywords]Osteoporosis；Vertebralfracture；Elderlypatients；Transvertebralpediclevertebralbodybonegrafting临床上治疗脊柱骨折时短节段弓根钉棒系统内固定是较为常用的治疗手段，其具有稳定性好、创伤性小等特点，有着较好的应用效果[1],但椎体是一种松质骨，骨折后易发生爆裂、压缩等，复位后空隙较大，仅依靠内固定系统时随着时间的延长可因应力集屮而松动、断裂，而老年脊柱骨折患者的身体功能退化，内固定失

8、败发生率更高，导致治疗效果欠佳[2]。我院近年来在短节段弓根钉棒系统内固定基础上