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前路减压植骨K形钛板固定治疗胸腰椎骨折并截瘫
引用本文:谭伦,郭勇.前路减压植骨K形钛板固定治疗胸腰椎骨折并截瘫[J].实用骨科杂志,2005,11(6):495-497.
作者姓名:谭伦  郭勇
作者单位:四川省自贡市第四人民医院骨科,四川,自贡,643000
摘    要:目的 探讨前路减压,植骨融合及K形钛板内固定治疗胸腰椎骨折并截瘫的临床效果。方法对48例胸腰椎骨折患者采用前路减压,植骨及K形钛板内固定术。结果 随访6-42个月,平均18个月。术后伤椎高度恢复90%者36例,恢复80%者12例,无K形钛板断裂和松动现象。术后脊髓神经功能按Frankel分级,除A级9例未能恢复外,其集装箱检验恢复1-2级。结论K形钛板具有操作简单,固定牢靠,合并症少,生物相容性好等特点,是治疗胸腰椎骨折较理想的内固定系统。

关 键 词:胸腰椎骨折  前路减压  内固定  截瘫  植骨  K形钛板
文章编号:1008-5572(2005)06-0495-03
收稿时间:2005-04-27
修稿时间:2005年4月27日

Treatment of Fracture of Thoracolumbar Spine with Paraplegia by Anterior Decompression,Autografts and K-Plate Internal Fixation
TAN Lun,GUO Yong.Treatment of Fracture of Thoracolumbar Spine with Paraplegia by Anterior Decompression,Autografts and K-Plate Internal Fixation[J].Journal of Practical Orthopedics,2005,11(6):495-497.
Authors:TAN Lun  GUO Yong
Abstract:Objective To study the clinical effects of thoracolumbar fractures treated by anterior decompression,autografts and internal fixation by K Plate system. Methods Forty-eight cases of thoracolumbar fracture with spinal cord injuries were studied. All cases were operated by anterior decompression, reduction, autogenous iliac grafting and fixation by K-Plate system. Results All cases were followed up for 6 to 12 months with an average of 18 months. Na complications occurred, such as breaking of the plate and crew. Among these cases, the height of fracture vertebra recovered 90% were 36 cases, 12 cases were recovered 80%. All the patients wre recovered 1 to 2 Frankel grades, except 9 cases whose suinal function were A grade before operation. Conclusion K-plate system has the advantages of simple manipulation, intripsic stability,few complications and good biocompatibility, so it is a good internal fixation system for the treatment of thoracolumbar fractures.
Keywords:thoracolumbar fracture  anterior route decompression  internal fixation  paraplegia
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