目的：探讨对脊柱骨折患者采用内固定结合椎体成形术进行治疗的临床疗效。方法：本组收集我院2012年5月~2015年5月间接诊的脊柱骨折患者60例进行临床研究，通过随机分组法将所有患者随机分成对照组（n=30例）和研究组（n=30例）。对照组30例患者单纯施行内固定方案进行治疗，研究组30例患者则施行内固定结合椎体成形术方案进行治疗。观察和对比两组患者的临床治疗效果及相关临床指标的变化情况。结果：经治疗后，研究组患者胸腰椎功能恢复的优良率（96.67%）明显高于对照组（76.67%），(P＜0.05) 差异均有统计学意义。两组患者治疗后的伤锥前高压缩比、Cobb角及椎管侵占率与治疗前相比均有显著改善，其中又以研究组的差异更为显著，(P＜0.05) 差异均有统计学意义。结论：对脊柱骨折患者采用内固定结合椎体成形术进行治疗具有良好的临床价值，值得推广应用。

Clinical effect of internal fixation combined with vertebral plasty in the treatment of spinal fractures Zhao Teng -Fei ( Department of Orthopedics，Henan Worker’s Hospital Zhengzhou,Henan Province,450000,China) [Abstract] Objective:?To probe into the clinical effects of?internal fixation combined with vertebral plasty in the treatment of spinal fractures.?Methods:?60?patients who suffered from the?spinal fractures?and who accepted treatments in our hospital from?May, 2012 to?May, 2015 were taken as the research objects, and these patients were randomly divided into the control group and the study group according to the random grouping method, with 30?patients in each group. In the control group, they were treated with the?internal fixation?while in the study group,?they were treated with the?internal fixation combined with vertebral plasty. Then,?the clinical effect and related clinical indicators of the changes?of these two groups of patients were compared and observed.?Outcome:?After treatment, the excellent and good rate (96.67%) of the patients in the study group was significantly higher than that in the control group (76.67%), the difference had statistically significant (P < 0.05).In addition, after treatment,the high compression ratio, Cobb angle and spinal canal occupation rate of the injured cone of two groups of patients were significantly improved than those of before treatment,while the difference in the study group was more significant,and difference had statistically significant(P<0．05).Conclusion:?The clinical values of internal fixation combined with vertebral plasty in the treatment of spinal fractures are good enough,?thus?should be promoted in the clinical application.