魏建军 周骏武 张靖等

    [摘要] 目的 探讨对老年骨质疏松性胸椎骨折患者行横突上嵴胸椎椎弓根螺钉植入术联合椎体成形术治疗的效果。 方法 对池州市人民医院骨一科2011年2月～2015年2月收治的38例老年骨质疏松性胸椎骨折患者进行分析，并采用随机数字表法将其分为对照组和观察组，对照组实施单纯胸椎椎弓根螺钉植入术治疗，观察组实施横突上嵴胸椎椎弓根螺钉植入术联合椎体成形术治疗，并观察两组患者的手术情况及手术效果。 结果 观察组手术时间[(78.39±5.68)min]明显长于对照组[(48.54±5.27)min]，卧床时间[(16.42±3.67)d]明显短于对照组[(42.36±4.05)d]，差异均有统计学意义(P 0.05)；两组椎体前缘高度、椎体后缘高度均较术前显著提高(P 0.05)。 结论 对老年骨质疏松性胸椎骨折患者实施横突上嵴胸椎椎弓根螺钉植入术联合椎体成形术治疗效果显著，可行性和安全性高，值得临床推广使用。

    [关键词] 横突上嵴法；椎弓根螺钉植入术；椎体成形术；老年骨质疏松性胸椎骨折

    [中图分类号] R683.2 [文献标识码] A [文章编号] 1673-7210(2015)08(c)-0102-05

    [Abstract] Objective To discuss the effect of thoracic pedicle screw implantation through transverse ridge combined with vertebral plasty for patients with thoracic vertebral fracture due to senile osteoporosis. Methods 38 cases of patients with thoracic vertebral fracture due to senile osteoporosis admitted to the First Department of Orthopaedics of the People's Hospital of Chizhou from February 2011 to February 2015 were analyzed and divided into control group and observation group according to random number table ......