前路减压Z-plate内固定治疗胸腰段爆裂性骨折伴不全性截瘫  

Treatment of burst fracture of thoracolumbar vertebrae with incomplete paraplegia by anterior decompression and Z-plate internal fixation

作　　者：徐小卒 杨淮海 

机构地区：[1]盐城市第一人民医院骨科,江苏盐城224006

出　　处：《临床骨科杂志》2004年第2期165-166,共2页Journal of Clinical Orthopaedics

摘　　要：目的　探讨胸腰段爆裂性骨折伴不全瘫前路减压内固定优越性以及Z plate系统的优点。 方法　采用前路减压Z plate内固定治疗胸腰段爆裂性骨折伴不全瘫 2 5例。结果　全部病例均获随访 ,随访时间 6～2 4个月 ,平均 17个月。按Frankel分级评定有 1～ 3级恢复 ,随访期间无后凸加重及内固定松动 ,植骨融合。结论　前路减压Z plate内固定是治疗胸腰段爆裂性骨折的较好方法。Objective To investigate the advantages of treatment for burst fracture of thoracolumbar verterae with incomplete paraplegia by anterior decompression and internal fixation by Z-plate. Methods 25 cases of burst fracture of thoracolumbar vertebrae companied incomplete paraplegia were treated with anterior decompression and internal fixation by Z-plate. Results All patients were followed up for 6～24 months,mean 17 months. According to the Frankel scale, the cases recovered with 1～3 degree, respectively. No exacerbation of kyphosis or looseness of internal fixation was found.The graft bones fused. Conclusion Anterior decompression and internal fixation with Z-plate is a good procedure for treatment of burst fracture of thoracolumbar vertebrae.

关 键 词：脊柱骨折 胸腰段 减压术 外科 骨折固定术 内 

分 类 号：R683[医药卫生—骨科学] R687.32[医药卫生—外科学]