摘要
目的观察经伤椎椎弓根内固定治疗胸腰椎爆裂骨折的临床效果。方法回顾性分析2009年1月至2011年12月在我院手术治疗的19例胸腰椎爆裂性骨折的临床资料，所有患者均采用经伤椎椎弓根内固定治疗，其中男性14例，女性5例，年龄23～58岁，平均（33．5±6．0）岁。骨折部位：T11 2例，L21例，T127例，L17例，T12-L1联合伤2例。术前、术后6个月及术后12个月均行X线及CT检查，分别测定伤椎前缘高度、矢状面Cobb角，进行疗效评估。结果患者手术均顺利完成，切口全部I期愈合，且均获得12个月随访。术后6个月及术后12个月伤椎前缘高度、矢状面Cobb角与术前相比，差异均有统计学意义（P〈0．05），术后6个月与术后12个月相比差异无统计学意义（P〉0．05）。结论经伤椎椎弓根内固定治疗胸腰椎爆裂性骨折是临床上行之有效的方法。
Objective To investigate the effect of pedicle screw fixation in injured vertebrae for the treatment of thoraco- lumbar fractures. Methods Between January 2009 and December 2011,19 patients with thoracolumbar fractures were treated by posteri6r short-segment fixation combined with transpedicular pedicle screw fixation in injured vertebrae. There were 14 males and 5 females with a mean age of（33.5 ＋6）years （range,23 -58 years）. The injured vertebrae were located at TI~ in 2 cases,Tl2 in 7 cases,L1 in 7 cases,L2 in 1 cases,T12 - L11 united in 2 cases. The X-ray and CT scan were taken to measure the anterior height of fractured vertebrae and Cobb angle. Results The operations were performed successfully, and incisions healed. All the patients were followed up for 12 months. The anterior height of fractured vertebrae showed significant differences between preoperation and postoperation （P 〈 0.05） ,while no significant differences between 6 months after operation and 12 months after operation（P 〉0.05）. The Cobb angles showed significant differences between preoperation and postoperation （P 〈 0.05 ） ,while no significant differences between 6 months after operation and 12 months after operation（ P 〉 0.05 ）. Conclu- sion Treatment of thoracolumbar fractures with transpedicular pedicle screw fixation in injured vertebrae has satisfactory effect.
出处
《实用骨科杂志》
2014年第1期8-10,共3页
Journal of Practical Orthopaedics
关键词
胸椎
腰椎
爆裂性骨折
椎弓根内固定
thoracolumbar
vertebra
burst fructure
transpedicular fixation
