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前入路减压Z-Plate内固定治疗胸腰椎爆裂性骨折
引用本文:李文若,黄承军. 前入路减压Z-Plate内固定治疗胸腰椎爆裂性骨折[J]. 临床骨科杂志, 2005, 8(5): 418-419
作者姓名:李文若  黄承军
作者单位:深圳市龙岗区坑梓人民医院骨科,广东,深圳,518122;柳州市中医院骨科,广西,柳州,545001
摘    要:目的探讨前入路减压Z-Plate内固定系统治疗胸腰椎爆裂性骨折的效果.方法对19例胸腰椎爆裂性骨折的患者施行前入路减压、植骨、 Z-Plate钢板内固定.结果 19例随访9~35个月,X线片显示椎体生理弧度恢复良好,植骨融合牢固,无断钉松动等并发症,术后A级1例神经功能无恢复,其余患者神经功能有不同程度恢复.结论 Z-Plate内固定系统用于胸腰椎爆裂性骨折的治疗,固定可靠,植骨融合率高,效果满意.

关 键 词:前路减压  胸腰椎  脊柱骨折  骨折固定术  
文章编号:1008-0287(2005)05-0418-02
收稿时间:2005-02-08
修稿时间:2005-07-05

Treatment of thoracolumbar burst fracture with anterior decompression and Z-Plate internal fixation
LI Wen-ruo,HUANG Cheng-jun. Treatment of thoracolumbar burst fracture with anterior decompression and Z-Plate internal fixation[J]. Journal of Clinical Orthopaedics, 2005, 8(5): 418-419
Authors:LI Wen-ruo  HUANG Cheng-jun
Abstract:Objective To investigate the effect of anterior decompression and Z-Plate internal fixation in the treatment of thoracolumbar burst fracture. Methods 19 cases of thoracolumbar burst fractures were treated with anterior decompression, bone graft and Z-Plate internal fixation. Results 19 cases were followed up for 9~35 months. The spinal curve recovered well and the bone graft got rigid fusion with X-ray examination. After operation, 1 cases of Frankel A didn't get neural function recovery, other cases got recovery in certain degree. Conclusions It can provide reliable fixation, high rate fusion and satisfactory outcome in the treatment of thoracolumbar burst fracture with anterior decompression and Z-Plate internal fixation.
Keywords:anterior decompression    thoracolumbar vertebrae    spinal fractures    fracture fixation, internal
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