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椎弓根钉内固定治疗胸腰椎Chance骨折23例
引用本文:孙桂森,隆海滨,马晓春,王涛,付鹏,李颖,郎明磊.椎弓根钉内固定治疗胸腰椎Chance骨折23例[J].实用全科医学,2010,8(5):586-587.
作者姓名:孙桂森  隆海滨  马晓春  王涛  付鹏  李颖  郎明磊
作者单位:胜利油田中心医院脊柱外科,山东省东营市,257034 
摘    要:目的探讨胸腰椎Chance骨折的发生机制及经后路椎弓根钉内固定的疗效分析。方法经后路椎弓根钉内固定治疗Chance骨折23例,致伤节段:T113例,T126例,L18例,L24例,L32例。结果失访3例,余20例均获6个月~5年的随访,随访病例脊柱后柱分离状态均得到明显恢复,无内固定失败及感染等并发症,除Frankel功能分级A级患者神经系统功能无变化外,其余例神经损伤患者均有不同程度恢复。结论Chance骨折经后路椎弓根钉内固定手术治疗,可及时恢复脊柱的稳定性,促进患者康复。

关 键 词:脊柱骨折  Chance骨折  椎弓根钉

Clinical Effectiveness of Transpedicular Screw Fixation for 23 Cases of Spine Chance Fractures
SUN Gui-sen,LONG Hai-bin,MA Xiao-chun,et al..Clinical Effectiveness of Transpedicular Screw Fixation for 23 Cases of Spine Chance Fractures[J].Applied Journal Of General Practice,2010,8(5):586-587.
Authors:SUN Gui-sen  LONG Hai-bin  MA Xiao-chun  
Institution:SUN Gui-sen,LONG Hai-bin,MA Xiao-chun,et al.Department of Spine Surgery,Central Hospital of Shengli Oil Field,Dongguan 257034,Sh,ong,China
Abstract:Objective To explore the mechanism of Chance fracture and the clinical efficacy of Transpedicular screw fixation.Methods 23 cases with Chance fracture were fixed by Transpedicular screw,which there were 3 patients with T11 fracture,6 with T12 fracture,8 with L1 fracture,4 with L2 fracture and 2 with L3 fracture.Results 23 patients were followed up for average 3.9 years ranging from 6 months to 5 years,which showed no operation complications including the failure of the internal fixation and infection.The ne...
Keywords:Spine fracture  Chance fracture  Transpedicular screw fixation  
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