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目的探讨直视下椎体成形术联合脊柱后路减压椎弓根钉棒内固定治疗胸腰椎转移瘤的临床疗效。方法回顾性分析自2010-01—2013-01诊治的胸腰椎肿瘤40例,按手术方法分为直视下经皮椎弓根穿刺椎体成形术联合脊柱后路减压椎弓根钉棒内固定术组及侧前路胸腰椎肿瘤切除钛板内固定术组。结果 2组VAS评分术后较同组术前明显降低,2组间比较差异无统计学意义;2组脊柱后凸角度(Cobb角)较同组术前减少;2组伤椎上下椎体之间的高度较同组术前增大。结论直视下椎体成形术联合后路椎板切除减压椎弓根钉棒内固定治疗胸腰椎转移瘤,能较快缓解疼痛症状,并且止痛效果维持时间久等优点,并可恢复并维持椎体高度及矫正后凸畸形的作用。
Objective To investigate the clinical effect of vertebroplasty combined with posterior spinal decompression and pedicle screw fixation for the treatment of thoracolumbar metastases. Methods Forty thoracolumbar tumors diagnosed and treated from January 2010 to January 2013 were retrospectively analyzed. They were divided into percutaneous pedicle vertebroplasty combined with vertebral posterior decompression pedicle screw rod Fixation group and anterior thoracic and lumbar tumor resection of titanium plate fixation group. Results The VAS score of the two groups was significantly lower than that of the same group before operation, and the difference was not statistically significant between the two groups. The Cobb angle of the two groups was less than that of the same group before operation. Between the height of the same group increased preoperatively. Conclusions Direct vertebroplasty combined with posterior laminectomy decompression pedicle screw internal fixation for thoracolumbar metastases can quickly relieve pain symptoms and analgesic effect to maintain a long time and other advantages and can be restored and maintained Vertebral body height and correction of kyphosis.