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胸腰椎患者骨折术后后凸畸形发生情况及影响因素分析 预览

Postoperative kyphosis and its influencing factors in patients with thoracolumbar fracture
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摘要 目的探讨胸腰椎患者骨折术后后凸畸形发生情况及影响因素。方法回顾性分析131例胸腰椎骨折患者临床资料,计算术后后凸畸形发生率,分析影响胸腰椎骨折患者术后后凸畸形发生的危险因素。结果 131例患者中,17例术后发生后凸畸形,发生率12. 97%;后凸畸形Cobb角31°~71°[(45. 26±5. 19)°]。骨密度(<-2. 5 g/cm^2)、合并椎体后壁骨折、长期使用糖皮质激素、术前JOA总评分(>18分)是影响胸腰椎骨折患者手术后后凸畸形发生的独立危险因素(P<0. 001)。结论胸腰椎患者骨折术后后凸畸形发生率较低。骨密度较低、合并椎体后壁骨折、长期使用糖皮质激素、术前JOA总评分较低是影响胸腰椎骨折患者手术后后凸畸形发生的危险因素。 Objective To investigate the occurrence and influencing factors of postoperative kyphosis in patients with thoracolumbar fractures.Methods The clinical data of 131 patients with thoracolumbar fracture treated in our hospital were retrospectively analyzed.The incidence of postoperative kyphosis was calculated and the risk factors of postoperative kyphosis in these patients were analyzed.Results Among the 131 patients,postoperative kyphosis occurred in 17 patients,and the incidence of kyphosis was 12. 97 %.Protrusion deformity of Cobb angle was 31°~ 71°[( 45. 26± 5. 19)°].Multivariate logistic analysis showed that bone mineral density (<-2. 5 g/cm^2),combined vertebral posterior wall fracture,long-term use of glucocorticoid and total JOA score (>18) were independent risk factors for postoperative kyphosis in these patients (P<0. 001).Conclusion The incidence of postoperative kyphosis after thoracolumbar fracture was low.The low bone density,posterior vertebral posterior wall fracture,long-term use of glucocorticoids and low total JOA score before surgery are risk factors for postoperative kyphosis in patients with thoracolumbar fracture.
作者 何伦相 吴大国 陈强 HE Lun-xiang;WU Da-guo;CHEN Qiang(Department of General Surgery,Dazhou Hospital of Integrated Traditional Chinese and Western Medicine,Dazhou 635000,China)
出处 《实用医院临床杂志》 2019年第4期40-43,共4页 Practical Journal of Clinical Medicine
基金 四川省卫生厅科研基金资助项目(编号:150132).
关键词 胸腰椎 骨折术后 后凸畸形 发生情况 影响因素分析 Thoracolumbar vertebra After fracture surgery Kyphosis Occurrence Analysis of influencing factors
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