一期内固定结合椎体成形术治疗脊柱跳跃性骨折合并骨质疏松症

目的 评价后路一期内固定结合椎体成形术治疗脊柱跳跃性骨折临床效果.方法 对15例(33椎)脊柱跳跃性骨折患者行一期后路钉棒内固定结合椎休成形术.术前行MRI或CT检查,在骨折累及三柱节段或神经损伤处行内固定,视椎管占位情况决定是否减压,对椎体后壁完整椎体行椎体成形术.结果 患者均获随访,时间5~24个月.无感染,伤口均一期愈合;无内固定失败;无继发后凸畸形加重,无迟发神经损伤;有神经损伤的患者均不有同程度的恢复.结论 一期后路内固定结合椎体成形术是治疗脊柱跳跃性骨折合并骨质疏松症的安全有效的方法.

Multiple-level noncontinuous spinal fractures with osteoporosis treated by one stage internal fixation combined with percutaneous vertebroplasty

Objective To evaluate the effect of one stage internal fixation combined with percutaneous vertebroplasty(PVP) in treating multiple-level noncontinuous spinal fractures.Methods There were 15 patients suffered from multiple-level noncontinuous spinal fractures in our department and there were 33 vertebras injured.All were performed CT or MRI examination.All patients underwent short internal fixation combined with PVP.All patients underwent one stage internal fixation at the level with spine cord injury or three column injured.Decompression was performed according to the spine cord compression.PVP was performed at the vertebras with intact posterior wall.Results All patients got followed for 5~24 months.There was no infection,and all incision got primary healing without fixation failure.There was no secondary kyphosis progress or nerve injury.All patients had neurological function recovery,who had neurlogical injury.Conclusions One stage internal fixation combined with PVP is an safe and effective alternative for multiple-level noncontinuous spinal fractures combined with osteoporosis.