摘要
目的探讨完全性胸椎骨折脱位的临床特点及应用后入路松解复位、直压式椎弓根螺钉系统固定治疗的疗效。方法对采用后路手术治疗的7例完全性胸椎骨折脱位患者的临床资料进行回顾性分析。损伤部位第5～9胸椎,均为Frankel A级,均伴有双侧多发肋骨骨折、血气胸。采取后入路松解减压,复位后用椎弓根螺钉系统固定并植骨。结果全部病例均获得随访,随访时间2～14个月,平均7.4个月,1例术后1个月死于脑出血,其余均获骨性融合。Frankel分级无改善。结论完全性胸椎骨折脱位的致伤力强大,脊柱、脊髓损伤严重,多发伤合并率高。后入路减压结合椎弓根螺钉系统固定对完全性胸椎骨折脱位具有较好的临床疗效。
Objective To investigate the clinical characteristics of complete thoracic facture and dislocation, and the clinical outcome of treatment with posterior approach releasing and pedicle screw system. Methods The clinical data of 7 patients with complete thoracic frac- ture and dislocation treated by posterior approach releasing and pedicle screw system were retrospectively analyzed. The injury site were Ts T9 with bilateral multiple ribs fracture and pneumohemothorax, which were in grade A according to Frankel degree. Results All patient were followed for 2 - 14 months （averagely 7.4 months）. 1 patient died from cerebral hemorrhage,all other patients achieved bony union and mo- tion with wheel. No improvement of Frankel degree was observed. Conclusion Complete thoracic facture and dislocation was severe complex injury caused by fierce force with high incidence of spine, spinal cord and other mutiple lesions. Posterior releasing combined with pedicle screw fixation could achieve satisfactory clinical outcome.
出处
《局解手术学杂志》
2013年第2期154-156,共3页
Journal of Regional Anatomy and Operative Surgery
关键词
胸椎骨折脱位
后入路
椎弓根螺钉
内固定
thoracic fracture and dislocation
posterior approach
pedicle screw
internal fixation
