机器人辅助椎弓根螺钉内固定术治疗强直性脊柱炎合并胸腰椎骨折的临床效果
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中图分类号 R681.5 文献标识码 A 文章编号2096-7721（2025）06-0942-06
Clinical efficacy of robot-assisted pedicle screw fixation in the treatment of thoracolumbar fractures in patients with ankylosing spondylitis
SUI Jiangtao，MA Junyi，MA Yuan，LIi （DepartmentofSpinalSurgery，theSixthAfiliatedHospitalofXinjiangMedicalUniversity，Urumqi83Oooo，China）
AbstractObjectiveTevaluatethterapeticfcacyofrobotaistedpediclesrefixationfortoracolumbarfracuresinpatintswih ankylosinpondylits（A）Meod：Atotlof84patintswittacobarfractushoereatedatSithAflatedHosial ofXinjingMedicalUniversifromJanuary22OtoJanuary24wererandomlydividedintothecontrolgroup（n=42）andtheobsevation group n： =42）.Thecontrolgroupunderwentmanualpediclescrewfxationaidedbysurgicalroboticamsoropticalnavigationsystes，hile theobservationgoupeciedbotisteddiclesefiatioPeoperativeidcatos，adogicaltcos，fucoaley indicators，complicationates，onehalingandiplantfilureratsrecompardetweentetwogoups.Results：omparediththe control group，the observation group had a longer operative time （ P<0.05） but higher radiation exposure， Cobb angle correction rate， vertebral height restoration rate，and proportion of grade O screw placement accuracy （ P <0.05）.Additionally，lessintraoperative bloodloss，fewer fluoroscopy sessions （ P<0.05） ，andashorter bone healing time （ P<0.05） were found in the observation group.At 3 months postoperatively， AmericanSpialjuryAsociation（ASIA）ImpaimentSaleshowedadcreaseingradeDandanincreaseingradeE，withteobeation group having a higher proportion of grade E （ P <0.05）. The observation group was also showed lower overall complication rates，implant failure rates，and ODI scores at 3 and 12 months postoperatively （P<0.05 ）.Conclusion：Robot-assisted pedicle screw fixation can significantly improvesurgicaloutcomesinASpatintswiththoracolumbarfracturesbyhancingscreplacementacuracyandbiomechanicalstability therebypromotingneurologicalrecoveryandrducingcomplications.Despiteincreasedradiationexposureandprolongedoperativtie itsinicalbenefits（articlarlyincoplexanatoicalonditiosoutweighpotetialriss.isteciquerepresentsapriseadfe treatment option for AS patients with thoracolumbar fractures and warrants broader clinical adoption. KeyWordsRobot-asisted Pedicle Screw Fixation; Ankylosing Spondylitis; Thoracolumbar Fracture; Clinical Efficacy
强直性脊柱炎（AnkylosingSpondylitis，AS）是一种慢性炎症性疾病，主要累及脊柱并导致骨质结构改变，显著增加胸腰椎骨折风险{l。（剩余11327字）