| 经椎旁肌间隙入路单侧伤椎置钉联合短节段椎弓根螺钉复位固定治疗胸腰椎骨折临床观察 |
| |
| 引用本文： | 韩雷,全仁夫,毕大卫,祖罡,王辉,胡钢锋.经椎旁肌间隙入路单侧伤椎置钉联合短节段椎弓根螺钉复位固定治疗胸腰椎骨折临床观察[J].中华全科医师杂志,2014(5):393-395. |
| |
| 作者姓名： | 韩雷 全仁夫 毕大卫 祖罡 王辉 胡钢锋 |
| |
| 作者单位： | [1]杭州市萧山区中医院骨科,311201 [2] 杭州市萧山区第一人民医院骨二科,311201 |
| |
| 摘 要： | 经椎旁肌间隙入路单侧伤椎置钉联合短节段椎弓根螺钉复位固定治疗胸腰椎骨折33例患者，术前经CT扫描显示一侧椎弓根完整，查体无神经损伤。术后随访12～40个月，平均22个月，X线片未见内固定松动、断裂。经肌间隙入路可完整保留脊柱后方复合体结构，加强脊柱的稳定性，同时伤椎单侧置钉可提高骨折椎复位效果及质量，术后稳定可靠，是治疗胸腰椎骨折的有效方法。
|
| 关 键 词： | 外科手术 脊柱骨折 |
Treatment of thoracolumbar fractures by unilateral pedicle screw fixation plus short segment pedicle screw through para-vertebral muscles |
| |
| Han Lei,Quan Renfu,Bi Dawei,Zu Gang,Wang Hui,Hu Gangfeng.Treatment of thoracolumbar fractures by unilateral pedicle screw fixation plus short segment pedicle screw through para-vertebral muscles[J].Chinese JOurnal of General Practitioners,2014(5):393-395. |
| |
| Authors: | Han Lei Quan Renfu Bi Dawei Zu Gang Wang Hui Hu Gangfeng |
| |
| Institution: | ( Department of Orthopaedics, Traditional Chinese Medical Hospital of Xiaoshan, Hangzhou 311201, China) |
| |
| Abstract: | A total of 33 non-neurological symptoms patients with thoracolumbar fractures underwent unilateral pedicle screw fixation plus short segment pedicle screw through para-vertebral muscles. Preoperative computed tomography （ CT） scan showed one side pedicle was complete.The average follow-up period was 22 （12-40） months.There was no internal fixation failure.The posterior paraspinal approach for unstable thoracolumbar fractures , retaining posterior ligament complex and fixation by unilateral pedicle screw fixation through the pedicle of fractured vertebra , is both safe and effective for thoracolumbar fractures. |
| |
| Keywords: | Surgical procedures operative Spinal fractures |
| 本文献已被 维普 等数据库收录！ |
