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多节段椎弓根螺钉固定治疗中上胸椎骨折脱位
引用本文:唐春晖,倪卫东,高仕长.多节段椎弓根螺钉固定治疗中上胸椎骨折脱位[J].中国骨与关节损伤杂志,2010,25(9).
作者姓名:唐春晖  倪卫东  高仕长
作者单位:重庆医科大学附属第一医院骨科,重庆市,400016
摘    要:目的探讨多节段椎弓根螺钉内固定治疗中上胸椎骨折脱位伴脊髓损伤的临床效果。方法采用经多节段椎弓根螺钉内固定治疗中上胸椎骨折脱位15例。按受累椎体统计,15例共20椎:T43椎,T65椎,T710椎,T82椎。按Hanley-Eskay分类:爆裂骨折6例,骨折脱位7例,爆裂脱位2例。术前脊髓神经功能按美国脊柱脊髓损伤协会(ASIA)标准分级:A级6例,B级4例,C级4例,D级1例。均行胸后路复位、椎管减压、多节段椎弓根螺钉内固定、后外侧植骨融合术。结果 15例均获随访,平均20.3个月,术后伤椎前缘高度由术前平均40%恢复至术后90.3%,术后脊髓神经功能恢复按ASIA标准,除A级及1例B级无恢复外,余8例均有不同程度改善。无内固定松动及断裂,无伤椎高度及脊柱生理弧度再丢失。结论多节段椎弓根螺钉固定可靠,能达到良好的复位和减压目的,有利于患者的早期康复。

关 键 词:椎弓根螺钉  胸椎骨折脱位  脊髓损伤  植骨融合

Clinical Study on Multi-Segmental Pedicle Screw Implantation in Treatment of Middle-Upper Thoracic Spine Fracture and Dislocation
Tang Chunhui , Ni Weidong , Gao Shichang.Clinical Study on Multi-Segmental Pedicle Screw Implantation in Treatment of Middle-Upper Thoracic Spine Fracture and Dislocation[J].Chinese Journal of Bone and Joint Injury,2010,25(9).
Authors:Tang Chunhui  Ni Weidong  Gao Shichang
Institution:Tang Chunhui,Ni Weidong,Gao Shichang,et al.Department of Orthopaedics,the First Affiliated Hospital Chongqing Medical University,Chongqing,400016
Abstract:Objective To study the effects of pedicle screw implantation in the treatment of middle-upper thoracic fracture and dislocation with spinal cord injury.Methods Fifteen patients(20 vertebraes) with upper-middle thoracic fracture were retrospectively reviewed.The location and type of fractures were as follows:3 in T4,5 in T6,10 in T7,2 in T8,Hanley-Eskay classification was used:burst fractures in 6,fracture-dislocation in 7,and burst dislocation in 2 cases.Neurologicall function(according to the ASIA classifi...
Keywords:Pedicle screw implantation  Thoracic fracture and dislocation  Spinal cord injury  Fusion with bone grafting  
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