| RF内固定器治疗胸腰椎爆裂性骨折中、远期疗效分析 |
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| 引用本文： | 王子平,陆耀刚,吴佩蓉. RF内固定器治疗胸腰椎爆裂性骨折中、远期疗效分析[J]. 中国骨与关节损伤杂志, 2009, 24(8): 691-694 |
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| 作者姓名： | 王子平 陆耀刚 吴佩蓉 |
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| 作者单位： | 上海市南汇区周浦医院骨科,201318;上海市南汇区周浦医院骨科,201318;上海市南汇区周浦医院骨科,201318 |
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| 基金项目： | 上海市卫生局科研课题(05II022 2-1) |
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| 摘 要： | 目的 探讨经后路短节段RF内固定治疗胸腰椎爆裂性骨折的中、远期疗效.方法 对经后路切开复位砌RF-I型内固定器手术治疗胸腰椎单节段爆裂性骨折142例资料进行分析.结果 术前存在脊髓不完全损伤27例,术后25例完全恢复.腰痛Denis评分:PI 106例,P2 36例.功能活动按Christian评分:3分2例,4分6例,5分34例,6分63例,7分37例.满意度患者自我测评,非常满意102例,满意40例.X线检查伤后、术后、随访时情况:椎体前高分别为51.8%、97.2%、95.6%;椎体后高92.0%、99.2%、99.5%;Cobb角19.6°、4.5°、6.9°.CT检查见:椎管前后径测量伤后、术后、取钉后平均丢失44.9%、16.9%、10.2%.内固定钉、杆断裂发生7例,9枚断钉.结论 后路切开复位RF-I型内固定器固定是治疗胸腰椎爆裂性骨折的有效方法.选用双直径角度螺纹钉,加强小关节突间植骨,及时取钉是防止断钉及矫正度丢失的重要措施.
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| 关 键 词： | 胸椎 腰椎 骨折 RF内固定器 治疗结果 |
Mid-and Long-term Follow-up Study of Thoracolumbar Burst Fractures Treated with RF Pedicle Instrumentation |
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| Wang Ziping , Lu Yaogang , Wu Peirong. Mid-and Long-term Follow-up Study of Thoracolumbar Burst Fractures Treated with RF Pedicle Instrumentation[J]. Chinese Journal of Bone and Joint Injury, 2009, 24(8): 691-694 |
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| Authors: | Wang Ziping Lu Yaogang Wu Peirong |
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| Affiliation: | Wang Ziping,Lu Yaogang,Wu Peirong.Department of Orthopaedics,Zhoupu Hospital,Shanghai,201318 |
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| Abstract: | Objective To investigate mid-and long-term results of thoracolumbar burst fractures treated with post short-segment RF pedicle instrumentation.Methods One hundred and forty-two patients with single thoracolumbar burst fractures were managed with posterior RF-I pedicle instrumentation.Results Among 27 patients who had incomplete spinal cord injury preoperatively,25 patients recovered after operation.The lumbar pain Denis scoring: P1 in 106 patients,P2 in 36 patients.The lumbar function Christian scoring: 3 p... |
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| Keywords: | Thoracic vertebrae Lumbar vertebrae Fractures RF pedicle instrumentation Treatment outcome |
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