2023年2月第30卷第2期Wiltse肌间隙入路伤椎置钉内固定治疗胸腰椎骨折的效果分析孔彦芳，林向东，林春豪，廖炯国（广州市黄埔区中医医院骨科，广东广州510700）【摘要】目的探讨Wiltse肌间隙入路伤椎置钉内固定治疗胸腰椎骨折的效果。方法88例胸腰椎骨折患者随机分为两组。两组均行伤椎置钉内固定治疗，对照组经传统后正中入路，研究组经Wiltse肌间隙入路。比较两组的围术期相关指标、椎体前缘高度比、伤椎矢状面Cobb角。结果研究组的术中出血量、术后引流量均少于对照组，手术时间、住院时间均短于对照组（P＜0．05）。术后12个月，两组的椎体前缘高度比均高于术前，伤椎矢状面Cobb角均低于术前（P＜0．05）；研究组的椎体前缘高度比高于对照组，伤椎矢状面Cobb角低于对照组（P＜0．05）。结论Wiltse肌间隙入路伤椎置钉内固定治疗胸腰椎骨折具有创伤小、术后恢复快等优势，可有效恢复患者伤椎的生物力学性能。【关键词】Wiltse肌间隙入路；伤椎置钉内固定；胸腰椎骨折中图分类号：R683.2文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0179AnalysisontheEffectofScrewInternalFixationofInjuredVertebraeThroughWiltseIntermuscularApproachintheTreatmentofThoracolumbarFractures//KONGYanfang,LINXiangdong,LINChunhao,LIAOJiongguo(DepartmentofOrthopaedics,HuangpuDistrictHospitalofTraditionalChineseMedicine,Guangzhou510700,China)[Abstract]ObjectiveToexploretheeffectofscrewinternalfixationofinjuredvertebraethroughWiltseintermuscularapproachinthetreatmentofthoracolumbarfractures.Methods88patientswiththoracolumbarfractureswererandomlydividedintotwogroups.Bothgroupsweretreatedwithscrewinternalfixationofinjuredvertebrae.Thecontrolgroupwastreatedwithtraditionalposteriormedianapproach,andthestudygroupwastreatedwithWiltseintermuscularapproach.Theperioperativeindicators,anteriorvertebralheightratioandsagittalCobbangleofinjuredvertebraewerecomparedbetweenthetwogroups.ResultsTheintraoperativebloodlossamountandpostoperativedrainagevolumeofthestudygroupwerelessthanthoseofthecontrolgroup,andtheoperationtimeandhospitalizationtimewereshorterthanthoseofthecontrolgroup(P<0.05).At12monthsaftersurgery,theanteriorvertebralheightratiosofbothgroupswerehigherthanthosebefore...
