摘要
目的:探讨骶骨骨折的治疗方法。方法:2009年4月至2010年4月,采用髂腰固定术,应用SYNTHES的USS脊柱固定器械,椎体区用万象椎弓根螺钉,髂骨区用Shantz钉,对15例垂直不稳DenisⅡ,Ⅲ型骶骨骨折患者进行手术治疗。结果:15例患者术后骨折临床愈合时间为8～12周,平均10周。据Mears等的影像学评价标准,骨折解剖复位9例、满意4例、不满意2例。据Gobbons等的神经功能评分,术前平均评分是3.4分,术后平均评分是1.3分。据Majeed等的疗效评价标准,术后的疗效为优12例,良2例,可1例,差0例。主要并发症为:切口深部感染1例,髂后上棘处schantz钉尾过度突出2例,一侧连接棒断裂1例。结论:治疗垂直不稳定型骶骨Denis Ⅱ,Ⅲ区骨折,特别是双侧骨折且术中需行骨折区复位时,应用髂腰固定术是一个较好的选择。
Objective To explore the surgical treatment for sacrum fractures. Methods From April 2009 to April 2010, 15 patients with Denis Ⅱ or Ⅲtype vertically unstable sacrum fractures were treated with ilio- lumbar fixation which was applied by placing lumbar pedicle screw （USS Fixture, Synthes） and ilium Schantz pin. Results 15 patients were followed-up for 24 - 36 months. The clinical healing time was 8 - 12 weeks （ 10 weeks on average）. According to Mears radiological assessment, the outcomes were rated anatomical in 9 cases, satisfactory in 4 cases, unsatisfactory in 2 cases. The average Gibbons score was improved from 3.4 to 1.3. The Majeed functional evaluations were excellent in 12 cases, good in 2 cases, fair in 1 case and poor in 0. The main complications included deep infection in 1 case, lilac screw prominence in 2 cases and rod breakage in 1 case. Conclusions Ilio-lumbar fixation was a demanding technique for treating Denis Ⅱ or Ⅲ type vertically unstable sacrum fractures, especially to both sides.
出处
《实用医学杂志》
CAS
北大核心
2013年第8期1296-1298,共3页
The Journal of Practical Medicine
关键词
髂腰固定术
骶骨
骨折
Ilio-lumbar fixation
Sacrum
Fracture
