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目的观察后路内固定融合术治疗脊柱胸腰段骨折的疗效。方法将2009年3月-2013年2月我院脊柱胸腰段骨折患者60例随机分为实验组40例和对照组20例，实验组采取后路内固定融合术，对照组采取前路内固定融合术，观察两组患者疗效，对比手术时间、术中出血量、术后并发症、住院时间以及cobb角等。结果两组患者均取得较好临床疗效，但实验组术中出血量、手术时间、住院时间以及cobb角的矫正情况均明显优于对照组，差异有统计学意义(P <0.05)。结论后路内固定融合术对脊柱胸腰段骨折的治疗有显著疗效，值得临床推广。“,”Objective To observe the posterior internal fixation and fusion treatment of thoracolumbar fracture efficacy. Methods Selected our hospital from March 2009 to February 2013, 60 cases of thoracolumbar fracture patients were randomly divided into the experimental group and the control group. The experimental group with 40 cases was taken posterior fixation and fusion control group with 20 cases was taken Anterior fusion surgery, the efficacy of the two groups were observed, compared two groups of patients, operative time, blood loss, Postoperative complications, hospital stay, and cobb angle. Results The patients in both groups achieved good clinical efficacy, such as blood loss, operative time, hospital stay, and cobb angle rectify the situation, but the surgery-related indicators of the experimental group were significantly better than the control group, a significant difference was statistically significant(P <0.05). Conclusion Posterior internal fixation and fusion have a significant effect on the treatment of thoracolumbar fractures, should be in the clinic to the widely promoted.