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| 固态人工颗粒骨在胸腰椎骨折治疗中的临床应用 | |
| 引用本文： | 玄文虎,王红伟,王素伟,谭文成.固态人工颗粒骨在胸腰椎骨折治疗中的临床应用[J].现代医院,2010,10(3):23-25. |
| 作者姓名： | 玄文虎 王红伟 王素伟 谭文成 |
| 作者单位： | 1. 珠海市人民医院,广东,广州,519015 2. 中山大学附属东华医院,广东,广州,523220 3. 暨南大学第一附属医院,广东,广州,510630 |
| 摘 要： | 目的评价固态硫酸钙人工颗粒骨在胸腰椎骨折复位中进行椎体成形术的治疗效果。方法35例胸腰椎爆裂骨折患者,其中男25例,女10例;年龄21～67岁,平均34.5岁;按Denis骨折类型A型11例,B型18例,C型6例;10例为单纯椎体前缘压缩骨折,25例椎体后壁均有不同程度骨折块突入椎管压迫脊髓,8例合并后柱结构损伤;脊髓损伤程度按Frankel分级评定;A级4例,B级5例,C级8例,D级12例,E级6例;术前X线及CT检查示骨折椎体前缘压缩率49.46%,脊椎后凸角平均(cobb法)21.36°,在后路短节段椎弓根钉固定,骨折椎体复位的同时,通过椎弓根孔用固态人工颗粒骨进行椎体成形,观察术后骨折椎体前缘压缩率变化及脊柱cobb角的改善情况。结果本组病人手术顺利,未发现与产品相关的并发症,术后随访24～36个月,平均28.2个月,术后即刻cobb角、椎体前缘压缩率与术前比较差异均有统计学意义,术后拆除骨折内固定物后末次随访与术后即刻比较无统计学差异;25例脊髓神经不全损伤患者,术后脊髓损伤Frankel分级均有不同程度的恢复,恢复率84%。结论胸腰椎骨折应用固态人工颗粒骨行椎体成形术能充分填充骨折椎体内缺损,操作安全有效。 |
| 关 键 词： | 胸腰椎骨折 椎体成形术 人工骨 |
APPLICATION OF SOLID PARTICLE ARTIFICIAL BONE IN FRACTURE OF THORACOLUMBAR VERTEBRAS |
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| XUAN Wenhu,WANG Hongwei,WANG Suwei,et al Zhuhai People\'s Hospital,Guangdong,PRC.APPLICATION OF SOLID PARTICLE ARTIFICIAL BONE IN FRACTURE OF THORACOLUMBAR VERTEBRAS[J].Modern Hospital,2010,10(3):23-25. | |
| Authors: | XUAN Wenhu WANG Hongwei WANG Suwei Zhuhai People\'s Hospital Guangdong PRC |
| Institution: | XUAN Wenhu,WANG Hongwei,WANG Suwei,et al Zhuhai People\'s Hospital,Guangdong,519000,PRC |
| Abstract: | Objective To evaluate the vertebralplasty effect of solid calcium sulfate particle artificial bone in fracture of thoracolumbar vertebras.Methods There were 35 patients suffer with fracture of thoracolumbar vertebras,which were 25 males and 10 females,aged from 21 to 67 years with an average of 34.5 years.There were 11 cases of type A,18 of B,8 of C,12 of D and 6 of E in Denis fracture classfication.10 cases had simple anterior vertebra compression fracture,25 cases had posterior vertebra fracture and press... |
| Keywords: | Fracture of thoracolumbar Vertebralplasty Artificial bone |
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