经皮微创椎弓根螺钉内固定术联合后路减压植骨术在老年脊柱骨折患者中的应用效果

doi:10.3969/j.issn.1671-7171.2025.12.019

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摘要 【目的】探讨经皮微创椎弓根螺钉内固定术联合后路减压植骨术在老年脊柱骨折患者中的应用效果。【方法】选取2021年1月至2024年12月本院收治的108例老年脊柱骨折患者,按照手术方法不同分为对照组(接受经皮微创椎弓根螺钉内固定术治疗)和观察组(接受经皮微创椎弓根螺钉内固定术联合后路减压植骨术治疗),每组54例。比较两组手术相关指标、脊柱功能[Oswestry功能障碍指数(ODI)评分]、疼痛程度[视觉模拟评分法(VAS)评分]及椎体恢复情况。【结果】观察组术中出血量大于对照组,手术时间、切口愈合时间均长于对照组(P<0.05)。术后3个月,两组VAS评分比较,差异无统计学意义(P>0.05);观察组ODI评分低于对照组(P<0.05);观察组椎体后凸Cobb角小于对照组(P<0.05),椎体前缘和椎体中部高度高于对照组(P<0.05)。【结论】经皮微创椎弓根螺钉内固定术联合后路减压植骨术虽延长了手术时间和切口愈合时间,增加术中出血量,但其能更有效改善脊柱骨折患者的脊柱功能,矫正椎体畸形并维持椎体高度。

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	邵欣慰
	徐松山
	周锦鸽

关键词 ：脊柱骨折, 骨折固定术,内, 减压术,外科, 老年人, 治疗结果

Abstract：【Objective】 To explore the application effect of percutaneous minimally invasive pedicle screw internal fixation combined with posterior decompression and bone grafting in elderly patients with spinal fractures. 【Methods】 A total of 108 elderly patients with spinal fractures admitted to our hospital from January 2021 to December 2024 were selected and divided into the control group (treated with percutaneous minimally invasive pedicle screw internal fixation) and the observation group (treated with percutaneous minimally invasive pedicle screw internal fixation combined with posterior decompression and bone grafting), with 54 cases in each group. The surgical-related indicators, spinal function [Oswestry Disability Index (ODI) score], pain degree [Visual Analogue Scale (VAS) score], and vertebral body recovery were compared between the two groups. 【Results】 The intraoperative blood loss in the observation group was greater than that in the control group, and the operation time and incision healing time were longer than those in the control group (P<0.05). At 3 months after surgery, there was no statistically significant difference in the VAS score between the two groups (P>0.05). The ODI score in the observation group was lower than that in the control group (P<0.05), the posterior convex Cobb angle of the vertebral body in the observation group was smaller than that in the control group (P<0.05), and the anterior and middle height of the vertebral body were higher than those in the control group (P<0.05). 【Conclusion】 Although percutaneous minimally invasive pedicle screw internal fixation combined with posterior decompression and bone grafting prolongs the operation time and incision healing time and increases blood loss, it can more effectively improve the spinal function of patients with spinal fractures, correct vertebral body deformity, and maintain vertebral body height.

Key words： Spinal Fractures Fracture Fixation, Internal Decompression, Surgical Aged Treatment Outcome

收稿日期: 2025-07-21

中图分类号:

R683.2

引用本文:

邵欣慰, 徐松山, 周锦鸽. 经皮微创椎弓根螺钉内固定术联合后路减压植骨术在老年脊柱骨折患者中的应用效果[J]. 医学临床研究, 2025, 42(12): 2082-2084.
SHAO Xinwei, XU Songshan, ZHOU Jinge. Application Effect of Percutaneous Minimally Invasive Pedicle Screw Internal Fixation Combined with Posterior Decompression and Bone Grafting in Elderly Patients with Spinal Fractures. JOURNAL OF CLINICAL RESEARCH, 2025, 42(12): 2082-2084.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.12.019 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I12/2082

[1] 徐鉴,胡银梅.经皮椎体后凸成形术联合脊神经后支阻滞术治疗急性期胸腰段椎体老年骨质疏松性压缩骨折的临床疗效[J].宁夏医学杂志,2025,47(3):269-272.
[2] 赵亚荣,王秀玲,张莹莹,等.快速康复护理理念对骨质疏松性脊柱骨折伴后凸畸形患者术后恢复及肢体功能的影响[J].现代中西医结合杂志,2024,33(3):403-406.
[3] 王磊,崔维,麻松,等.经皮椎弓根钉微创手术治疗胸腰椎骨折有效性及对疼痛、影像学指标的影响[J].中国疼痛医学杂志,2020,26(7):510-515.
[4] 曾庆娟,刘传梅,程艳艳,等.经皮经伤椎与跨伤椎椎弓根置钉术对中青年胸腰椎爆裂性骨折椎体高度恢复的影像学研究[J].中国医学影像学杂志,2022,30(8):834-838.
[5] 赵星毅,王黎明,沙卫平,等.微创经皮与开放椎弓根螺钉内固定技术治疗胸腰段脊柱骨折的临床疗效对比[J].徐州医科大学学报,2020,40(2):122-125.
[6] 王雪松,张烽,徐瑞生,等.后路椎管减压植骨内固定治疗胸腰椎骨折合并脊髓损伤[J].中国矫形外科杂志,2019,27(14):1249-1253.
[7] 王云浩,李红星,戴云飞.经皮微创椎弓根螺钉内固定术联合后路减压植骨治疗脊柱骨折疗效分析[J].中国烧伤创疡杂志,2025,37(1):62-66.
[8] 张国华,杜伟,罗鹏明,等.PVP与PKP治疗骨质疏松脊柱压缩性骨折的临床治疗效果比较[J].现代生物医学进展,2017,17(5):909-912.
[9] 李晨光,王景续.经皮穿刺椎体成形术治疗骨质疏松性胸腰段压缩骨折临床效果[J].临床军医杂志,2018,46(7):767-769.
[10] 李鸿飞,崔政宏,邓毅勇,等.后路减压植骨与椎弓根螺钉内固定联合治疗对脊柱骨折患者脊髓神经功能的影响[J].现代医学与健康研究电子杂志,2025,9(13):69-72.
[11] CHEN D,LIU P,SONG W Q,et al. Effect of posterior decompression and bone grafting combined with minimally invasive percutaneous pedicle screw fixation on pain and functional recovery in patients with thoracolumbar spinal fractures[J].Expert Rev Med Devices,2025,22(5):489-495.
[12] FEI G C,YAN H R.Clinical effect of minimally invasive percutaneous pedicle screw internal fixation combined with injured vertebrae bone grafting in the treatment of thoracolumbar fractures in orthopedic surgery[J].Emerg Med Int,2022,2022:3081380.
[13] YANG H M,HAN D,LI X.Endoscopic decompression combined with percutaneous pedicle screw fixation for treating thoracolumbar burst fractures with neurological deficits:technical note and early outcomes[J].World Neurosurg,2023,173:e521-e531.
[14] CHEN D,JIANG X.Pedicle screw fixation combined with posterior decompression and bone grafting for thoracolumbar spinal fractures can enhance curative effect and spinal cord function[J].Am J Transl Res,2022,14(12):8733-8740.