摘要
目的 :总结不稳定胸腰段骨折的治疗经验。方法 :本组病例均为新鲜骨折 ,其中后壁完整或接近完整的压缩骨折 14例 ,采用后路Schanz钉复位的内固定方法 ;后壁有较大游离骨块的爆裂骨折 3例 ,采用前路减压Ventrofix固定。结果 :两组病人硬膜囊受压解除 ,恢复了脊柱生理弯曲 ,术后未发生断钉、断棒、脱出等并发症 ,神经功能不同程度恢复。结论 :区别不同骨折类型 ,采用Schanz和Ventrofix固定方法 ,手术中做到减压彻底、稳定脊柱 。
Objective To investigate the treatment strategy of unstable thoracolumbar spine fracture.Methods Compression fracture(posterior wall is complete or approximately complete)was found in 14 cases and burst fracture in 3 cases.Compression fracture was treated with Schanz screw,burst fracture with Ventrofix screw.Results There was no pedicle screw breakage and loosening.Normal spine cure was obtained.Conclusion Correct classification and appropriate surgical approach and fixation are key points to improving the outcome of the unstable thoracolumbar spine fracture.
出处
《实用诊断与治疗杂志》
2003年第5期339-340,共2页
Journal of Practical Diagnosis and Therapy
关键词
胸腰段骨折
治疗
Thoracolumbar spine fracture
treatment
