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后路复位椎弓根螺钉固定治疗严重胸椎骨折脱位的临床疗效
引用本文:廖中亚,胡伟,吴建明,刘杰,马成才. 后路复位椎弓根螺钉固定治疗严重胸椎骨折脱位的临床疗效[J]. 安徽卫生职业技术学院学报, 2011, 10(4): 18-19
作者姓名:廖中亚  胡伟  吴建明  刘杰  马成才
作者单位:毫州市人民医院 安徽 236800
摘    要:目的:探讨后路复位椎弓根螺钉治疗严重胸腰椎骨折脱位的临床疗效。方法:应用钉棒系统椎弓根螺钉复位内固定治疗严重胸腰椎骨折脱位18例,全部采用后入路手术,术中视情况决定椎管减压、椎间融合或后外侧融合。结果:全部病例经过6个月~4年随访,椎体前缘高度由术前平均34%恢复至术后90%,后缘平均高度由术前的54%恢复到术后的96%。cobb角由术前平均29°恢复至术后7°,合并脊髓损伤ASIA分级神经功能评分均升高一级,椎间植骨或外侧植骨均融合,无断钉、断棒、螺钉松动及感染发生。结论:后路复位椎弓根螺钉治疗严重胸腰椎骨折脱位具有骨折复位满意、固定牢靠,操作简单等优点,是治疗严重胸腰椎骨折脱位的一种可靠方法。

关 键 词:复位  胸腰椎骨折脱位  椎弓根螺钉

The clinical efficacy of severe Thoracic and lumbar fracture and dislocation with Posterior reduction and pedicle screw Long phase fixation
LIAO Zhong-ya,HU Wei,WU Jian-ming,LIU Jie,MA Cheng-cai. The clinical efficacy of severe Thoracic and lumbar fracture and dislocation with Posterior reduction and pedicle screw Long phase fixation[J]. Journal of Anhui Heaith Vocational & Technical College, 2011, 10(4): 18-19
Authors:LIAO Zhong-ya  HU Wei  WU Jian-ming  LIU Jie  MA Cheng-cai
Affiliation:The People's hospital of Bozhou,Bozhou 236800,Anhui
Abstract:Objective:To study clinical efficacy Of severe thoracolumbar fracture and dislocation with posterior reduction and treatment of pedicle screw Long phase fixation.Methods: Application of screw Long phase fixation for severe thoracolumbar fracture-dislocation in 68 cases by posterior approach used in all surgical,as appropriate Spinal surgery decision:interbody fusion or posterolateral fusion.Results:All patients after 6 months to 4 years follow-up,Anterior vertebral height of an average of 34% from preoperative to postoperative recovery 90%,the average height of posterior 54% from postoperative recovery of 96%.cobb angle from average of 29 ° to resume 7 °.Spinal cord injury ASIA neurological grading were higher level,Interbody fusion or lateral bone graft shows no broken nails,no broken stick,no screw loosening,and no infection.Conclusion:Posterior pedicle screw long phase fixation with treatment of severe thoracolumbar fracture dislocation is satisfactory and reliable method for dislocation
Keywords:Long phase fixation  Thoracic and lumbar fracture dislocation  Pedicle screw
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