【摘要】 目的：深入分析胸腰段脊柱骨折患者接受经皮椎弓根螺钉内固定术和传统开放椎弓根螺钉内固定术治疗后对日本骨科协会评估治疗(JOA)评分和疼痛程度的影响。方法：选择2016年11月-2021年11月在广饶县人民医院住院的有内固定手术适应证，且不需要椎管探查或椎管减压的胸腰段脊柱骨折患者100例参与观察，利用病床单双号抽签法分为两组，各50例。将传统开放手术应用于对照组患者治疗过程，另外接受经皮椎弓根螺钉内固定术治疗的患者归为观察组。对比两组临床治疗效果、JOA评分、Barthes指数(BI)、视觉模拟疼痛评分法(VAS)评分、Cobb角、腰椎疼痛程度及并发症发生率。结果：实施不同手术方案后，观察组总有效率高于对照组，差异有统计学意义(P<0.05)。术后，观察组JOA评分、BI评分及Cobb角数据优于对照组，差异有统计学意义(P<0.05)。观察组腰椎疼痛程度优于对照组，差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论：胸腰段脊柱骨折利用经皮椎弓根螺钉内固定术治疗的效果理想，可减轻患者术后疼痛程度，缩短卧床时间，加快康复速度，提高腰椎功能恢复效果，减少并发症产生，治疗效果得到患者认可。更多还原

【Abstract】 Objective: To analyze the effect of percutaneous pedicle screw internal fixation and traditional open pedicle screwinternal fixation on The Japanese Orthopedic Association(JOA) score and pain severity in patients with thoracolumbar spinalfractures. Methods: From November 2016 to November 2021, 100 patients with thoracolumbar spinal fractures who werehospitalized in Guangrao County People’s Hospital and had indications for internal fixation surgery without the requirement ofspinal canal exploration or decompression were selected for observation. The patients were divided into two groups using the odd-even bed number drawing method, with 50 cases in each group. The traditional open surgery was applied to the treatment processof patients in the control group. In addition, patients who received percutaneous pedicle screw internal fixation were assigned tothe observation group. The clinical treatment effect, JOA score, Barthes index(BI), visual analogue scale(VAS) score, Cobb angle,lumbar pain degree and incidence of complications were compared between the two groups. Results: The total effective rate of theobservation group was higher than that of the control group after the implementation of different surgical plans, with statisticallysignificant difference(P<0.05). After surgery, the JOA score, BI score and Cobb angle in the observation group were better thanthose in the control group, with statistically significant difference(P<0.05). The degree of lumbar pain in the observation groupwas better than that in the control group, with statistically significant difference(P<0.05). The incidence of complications in theobservation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion:Percutaneous pedicle screw internal fixation for thoracolumbar spinal fracture has an ideal effect, which can reduce postoperativepain, shorten bedridden time, speed up recovery, improve the recovery effect of lumbar function, reduce complications, and thetreatment effect is recognized by patients.更多还原