伤椎置钉 GSS 系统治疗胸腰段脊柱骨折临床观察

目的：探讨伤椎置钉GSS系统治疗胸腰段脊柱骨折患者的临床应用和疗效。方法：选取2010年1月-2011年6月本院收治的胸腰段脊柱骨折患者50例，所有患者均伴有不同程度的脊柱神经损伤，其中根据Frankel分级标准：A级4例，B级4例，C级20例，D级15例，E级7例。对所有患者均应用GSS系统加伤椎置钉的方法进行治疗，并对疗效进行观察。结果：50例患者手术均成功，随访18个月，所有患者骨折均恢复良好，无切口感染和脊髓损伤等并发症发生；所有患者的椎体前后缘高度与术前相比均有明显提高（P〈0.05）；Cobb角与术前相比也有明显缩小（P〈0.05）；除2例脊髓神经损伤为A级的患者以外，其余患者的脊髓神经损伤均有1-3级的恢复。结论：应用GSS系统加伤椎置钉的方法治疗胸腰段脊柱骨折患者疗效确切，且能明显改善患者的临床症状，增加术后的稳定性，值得临床推广。

The Clinical Observation of Injured Vertebra Transpedicular Thoracic Lumbar Spine Fractures Treated by GSS System

Objective：To study the clinical application and curative effection of injured vertebra transpedicular thoracic lumbar spine fracture patients treated by GSS systems.Method：50 patients with thoracic lumbar spine fractures were chosen from our hospital from January 2010 to June 2011, all patients were accompanied with different degree of spinal nerve injury,all patients were treated by GSS systems with injured vertebra transpedicular method,and observed the curative effect.Result：50 cases were performed successfully,the 18 months follow-up all fracture patients recovered well,no incision infection and complications such as spinal cord injury;fanterior trailing edge height of the all patients were improved obviously compared with the preoperative（P〈0.05）;Cobb angle had narrowed considerably compared with preoperative（P〈0.05）;the rest of the patients with spinal cord injury had recovery of 1-3 except 2 cases of patients with spinal cord injury for class A.Conclusion：Application of GSS system with vertebral pedicle screw method in the treatment of thoracolumbar spinal fracture patients curative effect,the clinical symptom sand can significantly improve patients,increase the stability after operation,is worth the clinical promotion.