摘要
目的探讨采用"触摸法"经皮椎弓根螺钉技术治疗单节段无神经症状的不稳定胸腰椎骨折。方法 2007年6月-2009年5月,采用触摸法"经皮椎弓根螺钉内固定治疗单节段无神经症状的不稳定胸腰椎骨折15例,并与开放手术相比较。结果两组病例的术后伤椎前缘高度百分比、后凸Cobb’s角等较术前均有显著的恢复(P<0.01),两组间术前、术后影像学观察指标并无显著性差异(P>0.05),但"触摸法"较切开组的手术时间、住院时间和带支具离床时间明显缩短,术中出血量和术后引流量明显减少。结论 "触摸法"经皮椎弓根螺钉技术具有创伤小、出血少、术后恢复快等优点,是治疗单节段无神经症状的不稳定胸腰椎骨折的有效方法。
Objective To study the feasibility of ＂Touch Method＂posterior percutaneous transpedicular screw instrumentation in treating the single level thoracolumbar and lumbar fractures.Methods 15 patients with single level of thoracolumbar or lumbar fracture without nerve damage were operated with the＂Touch Method＂posterior percutaneous transpedicular screw instrumentation from Sep.2002 to Dec.2003.Results There were significant increase in postoperative vertebral height percent and Cobb＇s angle.There were significant difference in operative time,length of stay in bed and the volume of blooding between＂Touch Method＇and＂open＂groups.Conclusion The ＂Touch method＂is one of method to treat single level of thoracolumbar fractures,which has some advantages including fewer traumas,less blood lose and better recovery from operation.
出处
《颈腰痛杂志》
2010年第5期330-334,共5页
The Journal of Cervicodynia and Lumbodynia
关键词
胸腰椎骨折
经皮
椎弓根螺钉
thoracolumbar fractures
percutaneous
pedicle screw
