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目的探讨膨胀式椎弓根螺钉内固定治疗合并骨质疏松的胸腰椎退行性疾病的疗效。方法选取2012年9月至2014年9月收治的合并骨质疏松的胸腰椎退行性疾病患者65例,所有患者均给予膨胀式椎弓根螺钉内固定治疗,观察所有患者手术时间、术中出血量、住院时间、治疗优良率、螺钉稳定性和并发症情况。结果 65例患者手术时间为(210.2±38.4)min,术中出血量为(189.2±75.1)ml,住院时间为(10.1±2.2)d;所有患者中优35例、良27例,可2例,差1例,治疗总优良率为95.38%(62/65);术后1年随访,所有患者中58例螺钉稳定、5例欠稳定、2例不稳定;患者出现2例脑脊液漏、5例神经根牵拉伤、1例硬脊膜破裂,并发症发生率为12.31%(8/65)。结论膨胀式椎弓根螺钉内固定治疗合并骨质疏松的胸腰椎退行性疾病可明显提高治疗优良率,并发症少,可缩短住院时间,值得推广。
Objective To investigate the curative effect of intrathecal pedicle screw fixation for thoracolumbar degenerative diseases with osteoporosis. Methods From September 2012 to September 2014, 65 patients with thoracolumbar degenerative diseases with osteoporosis were selected from September 2012 to September 2014. All patients were treated by internal fixation with expanding pedicle screws. All patients were observed for operation time, intraoperative bleeding Volume, length of stay, treatment rate, screw stability and complications. Results The operation time of the 65 cases was (210.2 ± 38.4) min, the blood loss was (189.2 ± 75.1) ml and the hospitalization time was (10.1 ± 2.2) days. Among all the patients, 35 cases were excellent, 27 cases were good and 2 cases were good , Poor in 1 case. The total excellent and good rate of treatment was 95.38% (62/65). One year follow-up, 58 cases were stable in all patients, 5 cases were unstable and 2 cases were unstable. Two cases of CSF leakage, 5 A case of nerve root pull injury, 1 case of dura rupture, the complication rate was 12.31% (8/65). Conclusion Expansion of pedicle screw fixation for the treatment of thoracolumbar degenerative diseases with osteoporosis can significantly improve the treatment rate, fewer complications, shorter hospital stay, and worthy of promotion.