中文摘要：

目的探讨骨质疏松性胸腰椎骨折患者行骨水泥强化椎弓根螺钉固定治疗围手术期的护理措施及效果。方法选择53例行骨水泥强化椎弓根螺钉固定术患者，术前实施心理护理、术前宣教，术后实施病情观察、切口及引流管护理、疼痛护理、并发症预防护理和早期功能锻炼指导。结果53例患者椎体骨折复位效果及内固定位置良好，术后患者脊髓神经功能ASIA分级明显改善，疼痛VAS评分显著改善；术后患者均未出现迟发的骨水泥并发症，切口均愈合良好，无伤口感染发生；术后随访未发现螺钉松动迹象，椎体高度无明显丢失，未发现患者再次骨折。结论对骨质疏松性胸腰椎骨折患者行骨水泥强化椎弓根螺钉固定治疗，规范有效的围术期护理措施可为手术成功提供有力的保障。

英文摘要：

Objective To discuss the peri-operative nursing measures and nursing effect in patients with osteoporotic thoracolumbar fracture treated with bone cement pedicle screw fixation. Methods 53 cases with the treatment of bone cement pedicle screw fixation were selected; psychological nursing and health education before operation were per- formed while observation was made to disease progress and incision condition ; nursing of the drainage tube, pain nurs- ing, preventive nursing of complications and instruction for early functional exercises were provided. Results The re- duction of thoracolumbar fracture and internal fixation were both good in the 53cases ; obvious improvement of ASIA grading and VAS scores was found after operation ; no delayed bone cement complications occurred after operation, and the incision healed well with no incision infection ; follow-up after operation found no loose of screws and no loss of ver- tebral height, no reoccurrence of fracture was found in the cases. Conclusions It provides a great help for the success of the operation to perform bone cement pedicle screw fixation on patients with osteoporotic thoracolumbar fracture with standard effective peri-operative nursing measures.