Long-term efficacy of balloon reduction vertebral enhancement combined with screw fixation through the injured vertebra for the treatment of thoracolumbar burst fractures
球囊复位椎体增强结合经伤椎螺钉固定治疗胸腰椎爆裂性骨折的远期疗效

摘要

目的 分析胸腰椎爆裂性骨折患者经球囊复位椎体增强结合经伤椎螺钉固定治疗的临床效果。方法 择2022年1月-2024年1月于我院治疗的胸腰椎爆裂性骨折患者100例参与本次研究，在患者及其家属均对本次研究完全了解且自愿同意的情况下入组进行治疗，纳入参照组患者行后路经伤椎椎弓根螺钉固定治疗（50例），纳入研究组患者行球囊复位椎体增强结合经伤椎螺钉固定治疗（50例），观察两组治疗有效率、疼痛评分、神经功能评分、伤椎楔变角及矢状面Cobb角的变化,获取两组各项数据，通过简列数据，统计学对比分析，以此判定治疗差异性。结果 两组患者治疗有效率研究组高于参照组（P＜0.05）；两组患者治疗前后疼痛评分及神经功能评分、伤椎楔变角及矢状面Cobb角数据对比，治疗前组间数据无差异性（P＞0.05），治疗后两组数据研究组低于参照组（P＜0.05）。结论 球囊复位椎体增强结合经伤椎螺钉固定技术治疗胸腰椎爆裂性骨折的远期疗效良好。该技术不仅能有效恢复伤椎的形态和脊柱序列，还能显著改善患者的神经功能和生活质量。

Abstract

Objective To analyze the clinical effect of balloon reduction vertebral enhancement combined with screw fixation through the injured vertebra for patients with thoracolumbar burst fractures.
Methods A total of 100 patients with thoracolumbar burst fractures treated in our hospital from January 2022 to January 2024 were selected to participate in this study. The patients and their families were fully aware of the study and voluntarily agreed to be enrolled for treatment. The patients in the reference group underwent posterior pedicle screw fixation through the injured vertebra (50 cases), and the patients in the study group underwent balloon reduction vertebral enhancement combined with screw fixation through the injured vertebra (50 cases). The treatment effectiveness, pain score, neurological function score, injured vertebra wedge angle and sagittal Cobb angle of the two groups were observed. The data of the two groups were obtained, and the data were listed briefly and statistically compared and analyzed to determine the difference in treatment.
Results The treatment efficacy of the two groups of patients was higher in the study group than in the reference group (P＜0.05); the pain scores and neurological function scores, the wedge angle of the injured vertebra and the sagittal Cobb angle of the two groups of patients before and after treatment were compared. There was no difference between the two groups before treatment (P＞0.05), and the data of the two groups after treatment in the study group were lower than those in the reference group (P＜0.05).
Conclusion   The long-term efficacy of balloon reduction vertebral enhancement combined with transinjured vertebra screw fixation in the treatment of thoracolumbar burst fractures is good. This technology can not only effectively restore the morphology of the injured vertebra and the spinal sequence, but also significantly improve the patient's neurological function and quality of life.