后路内固定治疗胸腰椎骨折合并截瘫的疗效比较

目的评价椎弓根螺钉内固定系统（AF系统）治疗胸腰椎骨折合并截瘫If缶床效果。方法通过分析42例应用后路Luque＋Harrington、AF内固定治疗胸腰椎骨折合并截瘫患者术前、术后及随访的椎体前缘高度变化、Cobb’角的纠正程度及截瘫指数恢复程度相比较。结果AF系统在改善椎体高度、Cobb’角的纠正程度优于Luque＋Harrington。神经功能恢复远期效果好。结论AF系统是治疗胸腰椎骨折合并神经损伤的一种理想方法。

Efficacy of posterior fixation comparison in the treatment of thoracolumbar fractures with paraplegia by

Objective To evaluate the clinical efficacy of pedicle screw fixation system （AF） in the treatment of thoracolumbar fractures with paraplegia. Methods Analysis and compare Forty -two patients with thoracolumbar fractures who received posterior Luque ＋ Harrington and AF fixation were analyzed. The change of anterior vertebral height, the degree of correction of the Cobb＇ angle and the paraplegia index were compared. Results AF is better in improving anterior vertebral height change and the degree of correction of the Cobb＇ angle than Luque ＋ Harrington. And it had good long - term effect for recovery of neurological function. Conclusion The AF sys- tem is a good method in the treatment of thoracolumbar fractures complicated with nerve injury