摘要
目的探讨前路减压内固定术对胸腰椎骨折的应用价值。方法回顾经前路减压内固定手术治疗的82例胸腰椎骨折病例,并分析前路手术的优缺点、适应证及手术入路,内固定的选择。结果所有病例脊髓均获有效减压,经平均31个月的随访,发现植骨融合良好,未有脊柱后凸畸形及钢板螺钉断裂、松动等并发症。伤椎高度平均恢复96%,术后后凸Cobb角由术前平均25°恢复到5°。Frankel分级恢复一级者59例,恢复二级者10例,恢复三级者2例,无变化者11例。结论前路减压内固定术是集直视下直接减压、复位、内固定、植骨融合、矫正畸形、重建脊柱稳定一次完成的有效的方法。
Objective To investigate the clinical values of anterior decompression and internal fixation used for thoracolumbar spinal fracture. Methods Eighty-two cases of thoracolumhar spinal fracture treated with anterior decompression and internal fixation were reviewed, based on which the advantages and disadvantages, indications, operative approaches and options of internal fixation were ana- lyzed. Results All spinal cords were decompressed effectively and all cases were followed up in the average of 31 months. The result showed that the grafted bone had good fusion. The complications occurred in no cases, such as secondary posterior process abnormality and fracture or mobilization of plate screws. The height of fracture vertebrae was recovered by 96 % on average. The cohh＇s kyphosis angle was recovered from 25°preoperatively to 5° postoperatively. Besides, one grade was improved in 59 cases for Frankel grade scores, 2 grades in 10 cases and 3 grades in 2 cases. There was no improvement in 11 cases. Conclusion The method of anterior decompression and internal fixation is an effective approach with which the decompression, reduction, internal fixation, bone grafting, abnormality correction and reconstruction of spinal stability can he performed under direct vision at one stage.
出处
《中国骨与关节损伤杂志》
2006年第4期247-249,共3页
Chinese Journal of Bone and Joint Injury
关键词
胸腰椎骨折
前路减压
内固定
适应证
手术入路
Thoracolumhar spinal fracture
Anterior decompression
Internal fixation
Indication
Operative approach
