| 经椎弓根植骨治疗胸腰椎爆裂骨折 |
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| 引用本文： | 孟祥启. 经椎弓根植骨治疗胸腰椎爆裂骨折[J]. 实用骨科杂志, 2011, 17(12): 1067-1069 |
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| 作者姓名： | 孟祥启 |
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| 作者单位： | 江苏省连云港市赣榆县人民医院骨科,江苏赣榆,222100 |
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| 摘 要： | 目的评估经椎弓根植骨在治疗胸腰椎爆裂性骨折中的作用。方法胸腰椎爆裂性骨折32例,采用后路短节段椎弓根复位内固定后,取自体髂骨剪成碎沫状,经伤椎椎弓根植入伤椎椎体内。术前、术后及随访期间拍摄胸腰椎X线片,测量伤椎高度与正常高度的比值、脊柱后凸Cobb角,对测量数据作统计学分析。结果术后伤椎中央高度、脊柱后凸Cobb角得到明显恢复,未发生内置物断裂和螺钉松动现象,随访期间无明显矫正度丢失。结论经伤椎椎弓根椎体内植骨是一种防止内固定失败和矫正度丢失的有效方法。
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| 关 键 词： | 胸腰椎爆裂骨折 椎弓根 植骨 |
Treatment of Thoracolumbar Burst fracture by Flexible Trepan and Transpedicular Intracorporeal Bone Grafting |
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| MENG Xiang-qi. Treatment of Thoracolumbar Burst fracture by Flexible Trepan and Transpedicular Intracorporeal Bone Grafting[J]. Journal of Practical Orthopedics, 2011, 17(12): 1067-1069 |
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| Authors: | MENG Xiang-qi |
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| Affiliation: | MENG Xiang-qi(Department of Orthopaedics,Ganyu people′s Hospital of Lianyungang,Lianyungang 222100,China) |
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| Abstract: | Objective Assess the value of the flexible trepan in the treatment of thoracolumbar burst fracture(TLBF).Methods 32 cases of TLBF were reduced and fixed with short-segment pedicle instrumentation.The flexible trepan was drilled into the injured vertebral body via pedicle.The autogenous iliac bone being cut into small pieces was grafted into the injured vertebral body through the flexible trepan.The X-ray of the thoracolumbar spine were taken before and after operation and during the follow-up.The Cobb angle... |
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| Keywords: | thoracolumbar burst fracture transpedicle bone grafting |
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