椎弓根钉系统内固定治疗胸腰椎不稳定骨折

目的 探讨椎弓根钉系统治疗胸腰椎不稳定骨折的手术治疗效果.方法 采用椎弓根钉系统治疗胸腰椎不稳定骨折46例.结果 39例获得随访,平均随访17个月,术后椎间隙高度及胸腰椎生理曲度恢复满意,平均Cobb角及平均椎管狭窄指数得到明显改善,Frankel分级提高1～3级.结论 经后路短节段的椎弓根钉系统是治疗胸腰椎骨折的有效方法,具有复位满意、固定可靠等优点.

Pedicle screw system in the treatment of unstable fractures of thoracolumbar

Objective To discuss pedicle screw system in the treatment of unstable thoracolumbar fraetures of the results of surgical treatment.Methods Pedicle screw system for thoracolumbar unstable fracture of 46 cases.Results 39 cases were followed up for an average of 17 months after the intervertebral space height and thoracolumbar physiological curvature satisfactory recovery.The average Cobb angle and the average spinal stenosis index has been markedly improved,Frankel raise a grade:three.Conclusion Posterior short section of the pediele screw system is the treatment of thoracic and lumbar fractures of the effective ways is satisfied with the reduction,reliable fixation.