| 上下邻椎及骨折椎椎弓根螺钉固定治疗胸腰椎单椎爆裂性骨折 |
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| 引用本文： | 徐跃根,杨亚东,黄志海.上下邻椎及骨折椎椎弓根螺钉固定治疗胸腰椎单椎爆裂性骨折[J].临床骨科杂志,2010,13(1):25-27. |
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| 作者姓名： | 徐跃根 杨亚东 黄志海 |
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| 作者单位： | 嘉兴市第一医院骨科,浙江,嘉兴,314000 |
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| 摘 要： | 目的探讨采用3椎6钉固定骨折椎及上下邻椎治疗胸腰椎单椎体爆裂性骨折的疗效。方法上下邻椎及骨折椎固定治疗胸腰椎单椎体爆裂性骨折37例,先植入骨折椎的上下邻椎椎弓根螺钉,后植入骨折椎椎弓根螺钉,椎弓根螺钉锁固定在连接棒上,撑开使椎体高度恢复,植骨融合。结果37例均获随访,时间6～36（17.3±8.2）个月,骨折椎椎体高度恢复至85%～100%（95.9%±8.2%）;术后矢状面Cobb角2°～8°（3.2°±1.3°）。术后12个月取出内固定25例,未发现椎弓根螺钉断裂,随访24个月时,Cobb角为2°～17°（7°±2.8°）。末次随访时脊髓功能明显改善。结论骨折椎体置入椎弓根螺钉,可提高复位质量,改善固定强度及应力分布,增强脊柱稳定性,是治疗胸腰椎单椎爆裂性骨折安全可靠的方法。
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| 关 键 词： | 椎弓根螺钉 胸腰椎 脊柱骨折 |
Fixation of fractured vertebra and its adjacent upper-lower vertebrae with pedicle screws in treatment of thoracolumbar solitary vertebral body burst fracture |
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| XU Yue-gen,YANG Ya-dong,HUANG Zhi-hai.Fixation of fractured vertebra and its adjacent upper-lower vertebrae with pedicle screws in treatment of thoracolumbar solitary vertebral body burst fracture[J].Journal of Clinical Orthopaedics,2010,13(1):25-27. |
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| Authors: | XU Yue-gen YANG Ya-dong HUANG Zhi-hai |
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| Institution: | Dept of Orthopaedics/a>;the First Hospital of Jiaxing/a>;Jiaxing/a>;Zhejiang 314000/a>;China |
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| Abstract: | Objective To explore the effect of 3-vertebrae-6-pedicle-screws fixation in fractured vertebra and adjacent upper-lower vertebrae in solitary vertebral body burst fracture.Methods 37 patients with thoracolumbar solitary vertebral body burst fracture received treatment of 3-vertebrae-6-pedicle-screws fixation.First,pedicle screws were implanted into adjacent upper-lower vertebrae of the fractured vertebra,then into the fractured vertebra.Second,pedicle screws were distracted and fixed on connecting rods to c... |
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| Keywords: | pedicle screw thoracolumbar vertebrae spinal fractures |
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