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目的探讨腰椎后路椎弓根钉内固定治疗骨质疏松致椎体严重压缩骨折的可行性和临床效果。方法应用椎弓根钉内固定治疗骨质疏松致椎体严重压缩骨折12例,其中8例合并椎管狭窄,多节段压缩骨折11例。结果12例术后随访5~42个月,胸腰部及腿部疼痛症状消失或明显减轻,脊柱融合好。结论椎弓根钉内固定适用于不能行椎体成形术的严重椎体压缩性骨折,它具有安全、可靠及缓解疼痛效果好的优点。
Objective To investigate the feasibility and clinical effect of posterior lumbar pedicle screw internal fixation in the treatment of severe compression fractures caused by osteoporosis. Methods Twelve cases of vertebral compression fractures caused by osteoporosis were treated with pedicle screw internal fixation. Among them, 8 cases were complicated with spinal stenosis and multi-segmental compression fractures in 11 cases. Results 12 cases were followed up for 5 to 42 months. The symptoms of thoracolumbar and leg pain disappeared or obviously reduced, and the spinal fusion was good. Conclusion The pedicle screw fixation is suitable for severe vertebral compression fractures that can not be performed by vertebroplasty. It has the advantages of safety, reliability and good pain relief.