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| 后路内固定治疗胸腰椎爆裂型骨折的比较 | |
| 引用本文： | 徐东潭,吉勇,李涛,王相利,张克源. 后路内固定治疗胸腰椎爆裂型骨折的比较[J]. 中国矫形外科杂志, 2001, 8(9): 867-869 |
| 作者姓名： | 徐东潭 吉勇 李涛 王相利 张克源 |
| 作者单位： | 1. 淄博市中心医院骨科 2. 华北煤炭医学院附院骨科 3. 淄牵总公司医院骨外科 |
| 摘 要： | 目的：比较几种后路内固定治疗胸腰椎爆裂型骨折的效果。方法：121例胸腰椎爆裂型骨折伴脊髓损伤的患才，随机分组，分别应用Harrington、Dick、RF、DRFS治疗胸腰椎爆裂型骨折，观察神经恢复及骨折复位内固定情况。结果：经平均4年8个月的随访，Harrington、Dick、RF、DRFS治疗胸腰椎爆裂型骨折均有明显的复位固定作用，RF和DRFS在矫正后突畸形、恢复病椎高度上较Dick、Harrington更好，神经功能恢复上无明显差异。结论：RF和DRFS复位固定效果上优于Dick、Harrington，在临床应用上应根据病人的具体情况而定。 |
| 关 键 词： | 脊柱骨折 胸椎 腰椎 骨折固定术 内固定 |
| 文章编号： | 1005-8478(2001)09-0867-03 |
| 修稿时间： | 2000-12-15 |
Comparison of Internal Fixation for Treating Thoracolumbar Bursting Fractures by Posterior Apprach |
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| XU Dong tan,JI Yong,LI Tao,et al.. Comparison of Internal Fixation for Treating Thoracolumbar Bursting Fractures by Posterior Apprach[J]. Orthopedic Journal of China, 2001, 8(9): 867-869 | |
| Authors: | XU Dong tan JI Yong LI Tao et al. |
| Affiliation: | XU Dong tan,JI Yong,LI Tao,et al. Department of Orthopaedics,Central Hospital of Zibo City,Shandong 255036 |
| Abstract: | Objective:To compare the outcomes of thoracolumbar bursting fractures treated by four kinds of internal fixation instrumentation (Harrington?Dick?RF system and DRFS). Methods: 121 Patients were randomized into Harrington group(25cases)?Dick group(29 cases)?RF group(19 cases) and DRSF group (49 cases). Radiographic and neurologic function evaluation were obtained on admission and postoperatively. Results: 121 patients were followed up for an average of 56 months. All the four kinds of methods got satisfactory reductive fixation, yet RF system and DRFS were more effective on kyphosis correction and the anterior body height recovery than Dick and Harrington. Conclusion: RF system and DRFS were superior to Dick and Harrington in effect on reductive fixation. |
| Keywords: | Spinal fractures Thoracic vertebrae Lumber vertebrae Fracture fixation Internal fixation |
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