摘要
目的分析AF系统复位内固定治疗胸腰椎骨折的方法。方法2002年9月-2005年9月,应用AF系统复位内固定和选择性椎管减压治疗胸腰椎骨折147例,椎体屈曲压缩型骨折69例,爆裂型32例,骨折脱位型46例,脊髓无损伤101例,脊髓神经损伤46例,其中完全损伤9例,不完全损伤37例。结果所有病例均获得8-24月、平均13个月的随访,摄X线片测定椎体高度,椎体前缘术前平均高度43%,术后96%,后缘术前平均高度91%,术后99%,骨折脱位的椎体高度完全复位,Cobb角术前平均21度,术后降为3度,完全性神经损伤完全恢复2例,部分恢复6例,无恢复1例,不完全神经损伤,完全恢复21例,大部分恢复16例。结论AF椎弓根螺钉系统,具有操作简单,固定牢靠,调节方便,复位准确,疗效确切,是治疗胸腰椎骨折的良好内固定器械。
Objective： To analyze curative effect of AF system in the thoracolumbar spine fracture. Methods： From September 2002 to September 2005, One hundred and forty - seven patients with thoracolumbar spine fracture were treated with AF system and selective decompression, including 69 with the flexion- compression, 32 with burst fracture and 46 with dislocation. Among 46 patients with nerve injury, complete injury occurred in 9 patients, partial injury in 37 patients. Results： All the cases were followed up from 8 months to 24 months with average of 13 months and all the fractures were union successfully. The average height of the posterior edge of vertebra body was corrected form 43% before operation tO 96% after operation. The average height of the posterior edge of vertebra body was restored to 99% postoperatively from 91% preoperatively. The cobb＇s angle was corrected from 21o before operation to 30 after operation. Among 9 patients with complete nerve injury, complete recovery was achieved in 2 patients, partial recovery in 6 patients and no recovery in 1 patients Among 37 patients with partial nerve injury, complete recovery was achieved in 21 patients, partial recovery in 16 patients. Conclusion： AF system has the advantages such as satisfactory reduction, minor surgical injury and easy handling and fixes firmly. The curative effect is quite corroborant.
出处
《华西医学》
CAS
2007年第2期280-281,共2页
West China Medical Journal
关键词
胸腰椎骨折
AF系统
骨折内固定
Thorscolumbar fracture
AF system
Internal fixation
