不稳定无并发症椎体骨折的外科治疗

U. M. Pirov, A. A. Razzokov
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摘要

的目标。目的:提高不稳定无并发症椎体骨折的手术治疗效果。材料与方法。本研究分析了237例18至74岁的不稳定无并发症椎体骨折患者的手术治疗数据。这些患者采用后椎弓根融合术进行手术。第一组(51.9%)采用强化方法,对照组(48.1%)采用标准方法。使用新开发的量表评估治疗效果,同时使用Oswestry量表衡量生活质量。结果和讨论。在主要组中使用的精细手术治疗策略的主要组成部分是低创伤操作,旨在减少组织创伤并避免术中并发症。采用所提出的客观评分方法,与对照组相比,治疗组长期预后改善有统计学意义,分别为95.5±0.4分和88.7±0.7分(P<0.05)。根据Oswestry量表,主组积分和为2.5±0.05,对照组为5.1±0.06。各组的Oswestry指数分别为7.1±1.6和22.4±1.2。研究结果表明,与对照组相比,初级组的良好结果比例和不满意结果的发生率在统计学上显著增加。此外,观察到初级组患者的生活质量有所改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical treatment of unstable uncomplicated vertebral fractures
Aim. To enhance the outcomes of surgical treatment of unstable uncomplicated vertebral fractures.Materials and Methods. This research involves an analysis of surgical treatment data from 237 patients aged 18 to 74 years, all with unstable uncomplicated vertebral fractures. These patients underwent surgery using the technique of posterior transpedicular fusion. The primary group, constituting 51.9% of cases, utilized enhanced approaches, while the control group (48.1% of cases) employed standard methods. The treatment outcomes were evaluated using a newly developed scale, while the Oswestry scale was used to gauge the quality of life.Results and Discussion. The primary components of the refined surgical treatment tactics used in the main group were low-traumatic manipulations, which aimed to minimize tissue trauma and avert intraoperative complications. Utilizing the proposed objective scoring method, a statistically significant improvement in long-term outcomes was established in the primary group compared to the control group, with scores of 95.5±0.4 points and 88.7±0.7 points respectively (P<0.05). According to the Oswestry scale, the sum of points in the main group was 2.5±0.05, compared to 5.1±0.06 in the control group. The Oswestry index in the analyzed groups was 7.1±1.6 and 22.4±1.2 respectively.Conclusion. The findings demonstrate a statistically significant increase in the proportion of favorable outcomes, and the absence of unsatisfactory results, in the primary group as compared to the control group. Furthermore, an improvement in the quality of life for patients in the primary group was observed.
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