应用RECO脊柱复位固定系统治疗无神经损伤的胸腰段椎体骨折

目的 探讨RECO脊柱复位固定系统治疗无神经损伤胸腰段椎体骨折的疗效。方法对20例无神经损伤的胸腰段椎体骨折患者应用RECO脊柱复位固定系统进行复位内固定手术。结果20例均获随访，时间4～8（6．2±1．3）个月。手术切口均一期愈合，骨折临床愈合时间2—4（3．1±0．8）个月。术后患者伤椎椎体前缘高度从术前的53．00％±12．00％恢复至94．00％±4．10％，伤椎椎体后缘高度从术前的74．00％±18．00％恢复至95．8％±3．40％，术前术后比较差异有显著性（P〈0．01）。Cobb角从术前的17．1°±8．4°恢复至术后的1．4°±4．3°，术前术后比较差异有显著性（P〈0．01）。结论应用RECO脊柱复位固定系统是治疗无神经损伤胸腰段椎体骨折的有效方法，疗效满意。

The use of RECO spinal repositioning and fixation system in the treatment of non-nerve injury thoracolumbar fractures

Objective To evaluate the effect of RECO spinal repositioning and fixation system in the treatment of non-nerve injury thoracolumbar fractures. Methods A total of 20 cases with non-nerve injury thoracolumbar fractures were treated with RECO spinal repositioning and fixation system. Results 20 patients were followed up for （6. 2± 1.3） months（4 to 8 months）. All of the operative incisions got primary healing and time of fracture clinical healing was （3.1 ±0.8 ） months （2 to 4 months ）. The anterior edge height of the fractured vertebrae was restored from（ 53.00 -± 12.00）% to （94. 00± 4. 10）% , and the posterior edge height of the fractured vertebrae body was restored from （ 74.00 ±18.00 ） % to （ 95.8 -±3.40 ） % postoperatively, which both demonstrated improvement compared with preoperative instance（ P 〈0. 01 ）. The Cobb angle was restored from（ 17. 1 ± 8.4） degrees to （ 1.4 ± 4. 3 ） degrees, which also demonstrated improvement compared with the preoperative Cobb angle （P 〈 0. 01 ）. Conclusions RECO spinal repositioning and fixation system is a good spinal fixation system for the treatment of non-nerve injury thoracolumbar fractures with satisfactory results.