非椎板减压经椎弓内固定治疗胸腰段爆裂性骨折的体会

目的 分析评价非椎板减压经椎弓根内固定治疗胸腰段爆裂性骨折的临床疗效.方法 16例胸腰椎爆裂性骨折采用非椎板减压经椎弓根内固定治疗,全部病例病椎均存在后凸畸形,角度15～45度,椎管内骨块突入,椎管容积减少程度20%～65%.术前神经功能评价按Frank分级：C级5例,D级8例,E级3例.结果 随访时间6～36个月,平均2年.全部病例恢复满意,植骨达到骨性融合.结论 非椎板减压经椎弓根内固定治疗胸腰段爆裂性骨折,损伤小,操作简便,维持了原椎体稳定结构,避免了直接椎板减压引起的继发的医源性椎管狭窄所致的并发症,术后恢复快的优点.

Non-zhui board reduced pressure after vertebral arch in fixed treatment chest waist section explosive bone fracture

Objective the goal analysis appraises the non - zhui board reduced pressure after the vertebral arch root in the fixed treatment chest waist section explosive bone fracture clinical curative effect. Method 16 example chest lumbar vertebra explosive bone fracture uses the non -zhui board reduced pressure after the vertebral arch root in the fixed treatment, reduce the complete case of illness to get sick zhui exist raised abnormal, the angle 15 degrees -45 degrees,in the neurocanal the bone block penetrates, neurocanal volume reduction degree 20% -65%. In front of technique nerve function appraisal according to Frank graduation ： Clevel ： 5 examples, Dlevel ： 8 examples, Dlevel ： 8 examples, Elevel ： 3 examples. Result revisit time 6M -36M ,average 2 years. The complete case of illness restores satisfaction, plants the bone to achieve the osseous fusion. Conclusion non -zhui board reduced pressure after vertebral arch root in fixed treatment chest waist section explosive bone fracture,has damages slightly,the operation was simple, has maintained the protovertebra body stable structure, avoided themedical source neurochnal narrow result complication which the direct zhui board reduced pressure caused continues sends,after the technique restored the quick merit. Treats the neurocanal reduced pressure to this spot damage surgery which should not carry on blindly does not add sentences in advance, thus avoids the complication the occurrence, enhances the curative effect.