椎体内植骨结合椎弓根内固定治疗无神经损伤的胸腰椎骨折

目的探讨椎体内植骨结合椎弓根内固定治疗无神经损伤的胸腰椎骨折的疗效。方法回顾性分析2006年7月～2009年1月22例不伴神经损伤的胸腰椎骨折患者,行椎弓根内固定及伤椎植骨,观察包括椎体高度改变、Cobb角改变及椎管狭窄率改变。结果随访9～25个月,平均13个月,术后及随访期椎体高度、Cobb角及椎管狭窄率恢复满意。结论椎体内植骨结合经椎弓根内固定治疗无神经损伤的胸腰椎骨折有良好的临床疗效,是一种较为方便、安全、可靠的方法。

Intervertebral bone graft combined with transpedicular fixation for treatment of thoracolumbar fractures without nerve damage

Objective To discuss the clinical outcome of intervertebral bone graft combined with transpedicular fixation for treatment of non-nerve damage thoracolumbar fractures. Methods Twenty-two patients with thoracolumbar fractures without nerve damage were treated by posterior pedical screw fixation combined with intrabody grafting during July 2006 to January 2009. The changes of fractured vertebra height, Cobb＇ s angle and spinal stenosis rate were observed. Results The patients were followed up for 9 to 25 months （ a mean of 13 months）. The recovery of anterior and posterior height of fractured verte- bra, Cobb＇ s angle and Spinal stenosis rate was all satisfactory during the follow-up. Conclusion Intervertebral bone graft and transpedicular fixation can achieve satisfactory outcome in treatment of non-nerve damage thoracolumbar fractures, and the method is simple, safe, and reliable.