| 胸腰段脊柱脊髓损伤减压与固定相关问题探讨(附166例报告) |
| |
| 引用本文： | 江建明,金大地,陈建庭,王吉兴,朱志刚,瞿东滨,蒋晖.胸腰段脊柱脊髓损伤减压与固定相关问题探讨(附166例报告)[J].南方医科大学学报,2002,22(1):82-83. |
| |
| 作者姓名： | 江建明 金大地 陈建庭 王吉兴 朱志刚 瞿东滨 蒋晖 |
| |
| 作者单位： | 第一军医大学南方医院脊柱骨病科,广东,广州,510515 |
| |
| 基金项目： | 广东省火炬计划项目(C11202)，全军“十五”指令性课题 |
| |
| 摘 要： | 目的对胸腰段脊柱脊髓、马尾神经损伤患者的外科治疗及几种内固定方法的疗效进行探讨。方法对166例患者的治疗进行回顾分析。该组患者中椎体爆裂性骨折37例,椎体压缩骨折超二分之一109例,椎体骨折脱位14例,多节段或跳跃骨折6例。脊髓损伤按Frankel分级,A级59例、B级46例、C级42例、D级19例。治疗采用后路减压复位122例,前路减压复位、髂骨植骨融合44例。结果术后有123例获3~18个月随访,随防患者中除4例RF钉断裂,5例Harrington上钩脱落,6例棍断裂,其余患者内固定稳固。脊髓、马尾神经恢复:除35例仍为A级外,余脊髓神经功能恢复1~3个级别。结论各种不同内固定可保持或增强脊柱的稳定。胸腰段脊柱脊髓损伤的外科治疗应根据骨折类型、脊髓及马尾神经损伤程度选择手术入路及内固定材料。
|
| 关 键 词： | 骨折 胸腰椎 减压 内固定 |
| 文章编号： | 1000-2588(2002)01-0082-02 |
| 修稿时间： | 2001年6月25日 |
Decompression and internal fixation in the treatment of thoracolumbar spine and spinal cord injury:report of 166 cases |
| |
| JIANGJian-ming,JINDa-di,CHENJian-ting,WANGJi-xing,ZHUZhi-gang,ZHAIDong-bin,JIANGHui.Decompression and internal fixation in the treatment of thoracolumbar spine and spinal cord injury:report of 166 cases[J].Journal of Southern Medical University,2002,22(1):82-83. |
| |
| Authors: | JIANGJian-ming JINDa-di CHENJian-ting WANGJi-xing ZHUZhi-gang ZHAIDong-bin JIANGHui |
| |
| Institution: | JIANGJian-ming,JINDa-di,CHENJian-ting,WANGJi-xing,ZHUZhi-gang,ZHAIDong-bin,JIANGHui Departmentof Orthopaedics,NanfangHospital,FirstMilitaryMedicalUniversity,Guangzhou510515,China |
| |
| Abstract: | Objective To evaluatethetherapeuticeffectof severalinternalfixationmethodsin thesurgicaltreatmentof thoracolumbarspineand spinalcordinjury(SSI-TL).Methods In the166SSI-TLcasesincludedin thisretrospective analysis,37hadvertebralbodyburstfracture,109hadvertebralbodycompressionfracture(withcompressionto a degreeover50%),14hadvertebralbodyfractureanddislocationand6hadmultilevelvertebralfracturesor jumpingfracture.In viewof thespinalcordinjury59belongedto FrankelgradeA,46gradeB,42gradeC and19gradeD.Posteriordecompression,reductionandinternalfixationwereperformedin122patientsandtheother44underwentanteriordecompression,reduction andiliumbonegrafting.Results Follow-upstudyfor3to18monthwas conductedin123cases,in whichRF screws crackingoccurredin4cases,Harringtonupperhookdislocationin5casesandHarringtonrodcrackingin6,whiletherest caseswerefreeof thesesincidents.In termsof thefunctionrecoveryof thespinalcord,88casesshowedimprovementof the spinalcordandcaudaequinaof1to3Frankelgrades,leavingonly35lingeringin gradeA.Conclusion Decompression shouldbe performedat earlystagesof SSI-TL,andemploymentof variousinternalfixationinstrumenthelpsmaintainand enhancespinalstability,preventingsecondarylesionof thespinalcordandpromotingthefunctionrecoveryof theinjured spinalcord. |
| |
| Keywords: | thoracolumbarfracture decompression internalfixation |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
