摘要
目的探讨中华长城椎弓根钉系统治疗胸腰椎爆裂骨折的优越性，并评价其临床效果。方法选择后正中入路椎管减压或单纯使用中华长城内固定系统治疗胸腰椎爆裂骨折40例。结果经3～18个月随访，椎体平均高度由术前的前34．5％和后74．5％恢复到术后的前95％和后98．5％，Cobb’s角由术前平均16．0。恢复为术后平均1．5°。对脊髓损伤的患者Frankel分级平均提高1．5级。未出现椎弓根钉松动和断裂。结论中华长城系统治疗胸腰椎爆裂骨折操作安全、固定确实、椎弓根大小设计合理，具有较明显的优越性，有待进一步临床应用观察。
Objective To investigate the superiority and clinical results in the treatment ot burst tractures ot thoracolumbar with China Great-wall System （CGWS）. Methods 40 cases of mash fractures of thoracolumbar were treated with CGWS and used posterior detection or not. Results The cases were followed up from 3 to 18 months, anterior height of compressed vertebral bodies was restored from 34. 5% preoperatively to 95.0% postoperatively, posterior height was from 74.5% to 98.5%. Cobb＇s angel was corrected from 16 degree preoperatively to 1.5 degree postoperatively. According to Frankel classification, the average recovery paralysis raised 1.5 grades, the screws has no loosening and break. Conclusion CGWS has safe usage and strong fixation, the screws design is reasonable, it is a good device in spinal internal fixation and for deep observation.
出处
《实用骨科杂志》
2007年第11期646-648,共3页
Journal of Practical Orthopaedics
关键词
胸腰椎骨折
中华长城系统
内固定
thoracolumbar fracture
China Great-Wall System（CGWS）
internal fixation
