Z-plate钢板在胸12椎体爆裂性骨折中的应用 |
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引用本文: | 陈泰祥,龙啸宇.Z-plate钢板在胸12椎体爆裂性骨折中的应用[J].南华大学学报(医学版),2009,37(5):574-575,589. |
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作者姓名: | 陈泰祥 龙啸宇 |
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作者单位: | 南华大学,第三附属医院,骨外科,湖南,衡阳,421900 |
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摘 要: | 目的评估Z—plate钛钢板内固定系统在胸12椎体爆裂性骨折中的应用价值。方法对21例胸12椎体爆裂性骨折患者行前路椎管减压、植骨、并采用Z—plate钛钢板内固定系统前路固定。结果21例患者均获随访,访时间5~36个月,平均18个月,植骨均已牢固融合,无植骨块塌陷及伤椎高度丢失,亦无钢板、螺钉断裂及松动现象。无继发性脊柱后突畸形的病例。结论Z—plate钛钢板内固定系统治疗胸12椎体爆裂性骨折可使固定节段具有高度的内在稳定性,并发症少,适合于胸12椎体爆裂性骨折行前路椎管减压后的脊柱稳定性重建。
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关 键 词: | 胸椎 脊柱骨折 前路减压 植骨融合 内固定 |
The Application of the Z-palte Fixation System in the 12th Thoracic Vertebrae Burst Fracture |
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Institution: | CHEN Tai - xiang, LONG Xiao - yu ( The Third Affiliated Hospital of University of South China, Hengyang , Hunan 421001, China ) |
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Abstract: | Objective To evaluate the application of the Z - titanium plate fixation system in thel2th thoracic vertebrae burst fracture. Methods Anterior decompression, bone grafting and titanium steel Z - plate anterior fixation system were used in 21 patients of thoracic 12th vertebral burnt fracture. Results 21 patients were followed up for 5 ~ 36 months, with an average of 18 months. They had a solid bone fusion without bone block collapsed and height of vertebral injury lost, and plate, screw fracture loosened. Without secondary kyphosis deformity cases. Condusion The Z -titanium plate fixation system for the treatment of 12th vertebral burst fracture can make the fixed segment have a high degree of internal stability, fewer complications, which is suitable for 12th thoracic vertebrae burst fracture ' s reconstruction of spinal stability after anterior spinal canal decompression. |
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Keywords: | thoracic vertebrae spinal fracture bone fusion internal fixation |
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