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[1]周成洪,龍亨國,沈萬洋,等.經(jīng)后路Ⅰ期椎間顆粒骨打壓植骨融合治療胸腰椎爆裂骨折伴脫位臨床療效分析[J].中醫(yī)正骨,2012,24(08):18-20.
　ZHOU Cheng-hong*,LONG Heng-guo,SHEN Wan-xiang,et al.Ⅰ stage granules of posterior interbody fusion with bone grafting of thoracolumbar burst fracture with dislocation of the Clinical Analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(08):18-20.
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經(jīng)后路Ⅰ期椎間顆粒骨打壓植骨融合治療胸腰椎爆裂骨折 伴脫位臨床療效分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年08期
頁碼:
18-20
欄目:
臨床研究
出版日期:
2012-08-20

文章信息/Info

Title:
Ⅰ stage granules of posterior interbody fusion with bone grafting of thoracolumbar burst fracture with dislocation of the Clinical Analysis
作者:
周成洪; 龍亨國; 沈萬洋; 洪文躍; 劉玖行; 肖曦; 詹旭
浙江省舟山市中醫(yī)骨傷聯(lián)合醫(yī)院,浙江 舟山 316000
Author(s):
ZHOU Cheng-hong*; LONG Heng-guo; SHEN Wan-xiang; HONG Wen-yue; LIU Jiu-xing; XIAO Xi; ZHAN Xu.
*Zhoushan TCM and Orhtopedic Union Hospital,Zhoushan 316000,Zhejiang,China.
關(guān)鍵詞:
脊柱骨折脫位 胸椎腰椎 植骨 融合
Keywords:
Fracture-dislocation;  Thoracolumbar;  Bone graft;  Fusion
摘要:
目的:觀察經(jīng)后路Ⅰ期椎間顆粒骨打壓植骨融合術(shù)治療胸腰椎爆裂骨折伴脫位臨床療效。方法:對采用后路減壓國產(chǎn)通用型脊柱固定系統(tǒng)(GSS)椎弓根螺釘固定聯(lián)合椎間植骨融合手術(shù)治療的12例胸腰椎爆裂骨折脫位患者進行了隨訪,比較術(shù)前、術(shù)后相鄰椎體上下終板成角(Cobb角)、椎體前緣高度與正常高度的比值、椎管骨性占位率等指標(biāo),了解術(shù)后骨折復(fù)位情況及隨訪期間內(nèi)固定有無失敗和復(fù)位丟失情況。結(jié)果:通過手術(shù)減壓復(fù)位,Cobb角、椎體前緣高度與正常高度的比值、椎管骨性占位率均明顯改善。術(shù)后隨訪測量與術(shù)后相比無明顯變化,無1例內(nèi)固定失敗。結(jié)論:后路椎弓根螺釘聯(lián)合椎間植骨治療胸腰椎爆裂骨折伴脫位可以有效防止內(nèi)固定失敗、復(fù)位丟失和后凸畸形,是治療胸腰椎骨折伴脫位較理想方法。
Abstract:
Objective:To investigate of the clinical efficacy Ⅰ stage posterior particle bone grafting of the intervertebral fusion in treatment of thoracolumbar burst fracture with dislocation.Methods:The study involved 12 patients with thoracolumbar burst fractures with dislocation treated with posterior pedicle screw instrumentation plus interspinal bone grafting.The Cobb angle,the ratio of anterior body height to the normal height and spinal canal blockage before and after surgery were compared for observation on postoperative fracture healing as well as internal fixation failure or reduction loss during follow-up.Results:The operative decompression and reduction exerted significantly positive effect on the Cobb angle,the ratio of anterior body height to the normal height and spinal canal blockage.The follow-up showed no significant correction loss or fixation failure.Conclusion:Posterior pedicle screw plus interspinal bone grafting is an ideal method for treatment of thoracolumbar burst fractures with dislocation,it can prevent failure,reduction loss and kyphotic deformity.

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備注/Memo

備注/Memo:
通訊作者:龍亨國 E-mail:[email protected]
更新日期/Last Update: 2012-08-20