前路减压植骨内固定治疗胸腰椎爆裂性骨折  

Anterior approach decompression plus bone graft and internal fixation in the treatment of burst fracture of thoracolumbar spine

作　　者：黃东永 吴利民[1] 陈敏[1] 黄仕光[1] 

机构地区：[1]惠州市第三人民医院外二科,广东惠州516002

出　　处：《岭南现代临床外科》2010年第3期195-196,199,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨前路减压植骨融合内固定手术在治疗胸腰椎爆裂性骨折的疗效。方法回顾性分析2000年5月～2005年3月前路减压植骨融合內固定治疗胸腰椎爆裂性骨折58例。骨折节段—单椎体骨折:T101例,T114例,T1213例,L118例,L211例,L32例;双椎体骨折:T12与L16例,L1与L23例。结果平均随访13.5个月,按Frankel分级评定神经功能恢复1级以上。影像学检查比较,未发现明显的矫正度丢失。植骨块位于中央、己融合,无假关节形成及內固定失败。结论前路减压植骨内固定治疗胸腰椎爆裂性骨折,减压更彻底、更安全,能较好地重建前中柱稳定性。Objective To investigate the curative effects on anterior approach decompression plus bone grafting fusion and internal fixation for treating burst fractures of thoracolumbar spine.Methods From May 2000 to March 2005,58 cases with burst fractures of thoracolumbar spine received anterior approach decompression plus bone grafting fusion and internal fixation were analyzed retrospectively.The fracture segment of single vertebral body was in T10 1 case,T11 4 cases,T12 13 cases,L1 18 cases,L2 11 cases and L3 2 cases.The fracture segment of two vertebral body was in T12 and L1 6 cases,L1 and L2 3 cases.Results All cases were followed-up and average follow-up time was 13.5 months.According to Frankel grading score,the neural function was reached to more than grade I.In the comparison of imaging examination,no obvious loss of corrected degree was found.The bone grafting mass was located in the center and it had in fusion.No pseudoarthrosis formation and failure of internal fixation occurred.Conclusion The anterior approach decompression plus bone grafting fusion and internal fixation has thorough decompression and more safety.And it is better in the reconstruction of stability of anterior-middle column.

关 键 词：胸椎 腰椎 骨折 减压 内固定 

分 类 号：R687.3[医药卫生—骨科学]