本文選題：胸腰椎　切入點：骨折　出處：《中國矯形外科雜志》2016年22期

【摘要】：[目的]觀察經(jīng)傷椎椎弓根置釘、植骨后路短節(jié)段固定治療胸腰段壓縮性骨折的臨床療效。[方法]2013年1月~2015年1月本院21例胸腰段壓縮性骨折采用經(jīng)傷椎椎弓根置釘、植骨后路短節(jié)段固定,術前CT檢查測量椎管占位比,術前、術后、去除內(nèi)固定前或末次隨訪時X線片測量骨折椎體前緣壓縮率、Cobb角并評估神經(jīng)功能情況。[結(jié)果]患者均順利完成手術,受傷至手術時間平均4.7 d(1~13 d),傷口均Ⅰ期愈合,術后X線片示脊柱序列和生理曲度基本恢復。術前前柱平均壓縮39.3%(19%~64%),術后即刻8.3%(1%~17%),手術矯正31%;末次隨訪前柱壓縮14.6%(4%~20%),平均丟失6.3%。Cobb角術前平均18.7°(10°~29°),術后平均1.7°(-9°~6°),平均矯正17°,術后畸形得到明顯改善;末次隨訪時Cobb角平均4.6°(-8°~10°),丟失2.9°。平均隨訪18個月(10~34個月),椎體骨折愈合,無內(nèi)固定失敗,脊髓神經(jīng)不完全損傷神經(jīng)功能均有不同程度恢復。[結(jié)論]經(jīng)傷椎椎弓根置釘、植骨,后路短節(jié)段固定可恢復并有效維持矢狀位序列,減少椎體矯正度的丟失及內(nèi)固定并發(fā)癥的發(fā)生,是治療胸腰段壓縮性骨折一種安全、有效的方法。
[Abstract]:[objective] to observe the clinical effect of transpedicular pedicle screw fixation and short segment fixation in the treatment of thoracolumbar compression fracture.[methods] from January 2013 to January 2015, 21 cases of thoracolumbar compression fractures were treated by pedicle screw insertion and short segment fixation after bone grafting. The ratio of spinal canal occupied by CT was measured before and after operation.The anterior compression ratio and Cobb angle of fracture vertebrae were measured by X ray film before removal of internal fixation or at the last follow-up.[results] all the patients completed the operation successfully. The average time from injury to operation was 4.7 days to 13 days. The wound was healed in the first stage. The X-ray film showed that the sequence and physiological curvature of the spinal column were basically recovered.鏈墠鍓嶆煴騫沖潎鍘嬬緝39.3%(19%~64%),鏈悗鍗沖埢8.3%(1%~17%),鎵嬫湳鐭31%;鏈闅忚鍓嶆煴鍘嬬緝14.6%(4%~20%),騫沖潎涓㈠け6.3%.Cobb瑙掓湳鍓嶅鉤鍧，

本文編號：1702101