椎弓根固定加植骨治疗胸腰段脊柱脊髓损伤

目的探讨后路椎弓根固定加后外侧植骨治疗急性胸腰段脊柱脊髓损伤的疗效。方法对29例急性胸腰段脊柱脊髓损伤病人,后入路手术椎弓根钉复位固定,后外侧植骨。结果29例中27例获得随访,随访时间6个月-3年。椎体形态恢复,椎体前缘高度由术前平均49%恢复到术后85%;Cobb’s角由术前平均29.3°恢复到术后平均4.8°。优良率为77.7%。结论后路椎弓根固定加后外侧植骨治疗急性胸腰段脊柱脊髓损伤,具有手术时间短、内固定牢靠、固定节段少的优点,并且重建了脊柱的稳定性,神经功能恢复满意。

Treatment of thoracolumber burst fracture by pedicle screw system and born autograft

Objective To discuss the outcomes of treatment of posterior surgery for thoracolumber burst fracture by pedicle screw system aud born auto graft.Methods 29 case with thoracolumber burst fractures were treated with pedicle screw system and bone autograft.Results 27 patients were followed up from 6-36months,the height of injured vertebrae was recovered from 49%to 85%.Cobb′s angle was from 29.3° to 4.8°.the excellent rate was 78.7%.Conclusion This technique has been found to be a safe,rapid effective procedure for thoracolumber burst fracture and spinal stability.