胸腰段脊柱骨折脱位应用经伤椎置钉短节段GSS系统固定
治疗的临床分析
邱红生;罗任;胡永华
【期刊名称】《世界最新医学信息文摘（电子版）》 【年(卷),期】2016(015)030
【摘要】目的：探讨脊柱胸腰段骨折脱位应用经伤椎单侧与双侧置钉短节段GSS系统固定的临床效果。方法回顾2011年9月至2015年1月于我院收治并行伤椎置钉短节段GSS系统固定的脊柱胸腰段骨折脱位病例71例，根据所行术式分为经伤椎单侧置钉短节段GSS系统固定组及经伤椎双侧置钉短节段GSS系统固定组，其中单侧组41例，双侧组30例。回顾各组患者治疗的手术时间、平均出血量、平均输血量、平均住院时间、（术后1月、术后3月、术后6月、术后1年）的X线表现等指标，并进行对比评价。结果1.双侧组患者手术时间、总出血量、输血量均较单侧组多，比较有统计学意义（P分别为0.045、0038、0.004），余指标两组间比较无统计学意义；2.两组内比较术后1月的伤椎椎体前缘高度及Cobb角度比较差异有统计学意义（P<0.05）。结论经伤椎双侧置钉短节段GSS系统固定组内固定最优，稳定性好，但与单侧比较手术时间较长及出血量较多、输血量较大，各有优劣，当视情况而选择最优手术方法。%Objective to investigate clinical effect of thoracolumbar spinal fracture and dislocation treated with unilateral and bilateral vertebral pedicle nail segment fixation of GSS system.Methods review 71 cases thoracolumbar fracture dislocation patients treated with vertebral pedicle nail segment fixation of GSS system in our hospital
from September 2011 to January 2015, divide them into unilateral vertebral pedicle nail segment fixation of GSS system group and bilateral vertebral pedicle nail segment fixation of GSS system group according to operation method, 41 cases in unilateral group, 30 in bilateral group. Review, evaluate and compare two groups with indicatiors of operation time, average bleeding, average volume blood transfusion, average hospital stay, X-ray result 1 month, 3 months, 6 months and 1 year after operation.Results 1. operation time, bleeding volume, volume of blood transfusion of bilateral group was more than unilateral
group,
comparison
showed
statistical
significance
(P=0.045,0.038, 0.004 respectively), other indicatiors showed no statistical significance. 2. comparison and difference of anterior border height of injury centrum and Cobb angle 1 month after operation showed
statistical
significance
between
two
groups
(P<
0.05).Conclusion bilateral vertebral pedicle nail segment fixation of GSS system was the optimal therapy and stability, but it has more operation time, bleeding volume and blood transfusion volume than unilateral therapy. Each therapy has its advantages and disadvantages, optimal surgical method should be chosen depending on the situation. 【总页数】2页(5-6)
【关键词】胸腰段脊柱;骨折脱位;经伤椎置钉短节段GSS系统固定 【作者】邱红生;罗任;胡永华
【作者单位】广西医科大学第十附属医院，广西 钦州 535000;广西钦州市第一人民医院骨科，广西 钦州 535000; 【正文语种】中文 【中图分类】R681.5 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_world-latest-medicine-information_thesis/0201255608332.html 【相关文献】
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胸腰段脊柱骨折脱位应用经伤椎置钉短节段GSS系统固定治疗的临床分析
