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椎弓根螺钉在胸腰椎骨折治疗中体会
引用本文:王叙进,方诗元,孙建皖.椎弓根螺钉在胸腰椎骨折治疗中体会[J].中国局解手术学杂志,2008,17(5):313-315.
作者姓名:王叙进  方诗元  孙建皖
作者单位:安徽省立医院急救中心骨科
摘    要:目的探讨椎弓根螺钉(PS)在胸腰椎骨折治疗中的疗效。方法回顾性分析应用PS治疗胸腰椎骨折的68例病例资料。全部病例均采用分离显露损伤椎体及上下各一个椎体行后路减压,椎弓根螺钉复位内固定,小关节突及横突间和椎间植骨融合的治疗方法。结果随访2-52个月,68例骨折均愈合,58例椎体高度完全恢复,压缩性骨折中6例残留10%-30%的压缩未能恢复,65例植骨融合良好,无内固定松动现象。结论椎弓根是脊柱中最坚强的部位,椎弓根螺钉经椎弓根至椎体固定胸腰椎骨折操作简便、固定可靠、骨折复位和恢复胸腰椎正常弧度可以分步骤完成,重建的脊椎稳定性好,可早期下床活动,为目前胸腰椎骨折治疗中较好的方法之一。

关 键 词:胸腰椎骨折  椎弓根螺钉  内固定

Application of pedicle screw in the treatment of thoracic lumbar vertebrate spinal fracture
WANG Xu-jin,FANG Shi-yuan,SUN Jian-wan.Application of pedicle screw in the treatment of thoracic lumbar vertebrate spinal fracture[J].Journal of Regional Anatomy and Operative Surgery,2008,17(5):313-315.
Authors:WANG Xu-jin  FANG Shi-yuan  SUN Jian-wan
Institution:( Deparement of Orthopaedics,Anhui Province Hospital, Hefei Anhui 230000,China)
Abstract:Objective To explore experience of application of Pedicle Screw(PS) in the treatment of thoracic lumbar spinal fracture.Methods sixty-eight cases of thoracic lumbar spinal fractures treated with PS.All cases were treated with posteriorde decompression and internal fixation and bone grafting with PS system.Results All cases were followed up for 2 to 52 months,complete fusion of bone graft and fractures were observed in all the cases without local paining and screw loosening and breaking.Conclusion PS system could supply intrinsic and good reconstructive spinal stability and easy operation and make patients get earlier out of bed activity,therefore PS system is a good posterior fixation system.
Keywords:thoracic lumbar spinal fracture  pedicle screw  internal fixation
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