经椎弓根减压与AF内固定治疗胸腰椎爆裂骨折  

Treatment with decompression with pedicle of vertebral arch and AF internal fixation in the brust fractures of thoracolumber spine

作　　者：易善钧[1] 潘有春[1] 李廷林[1] 李成祥[1] 

机构地区：[1]鹤壁煤业集团公司总医院骨科,河南鹤壁458000

出　　处：《中国骨伤》2004年第12期726-728,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的探讨一种治疗胸腰椎爆裂性骨折伴脊髓神经损伤的方法。方法回顾我院骨科自1998年2月-2002年4月所收治胸腰段椎体爆裂骨折伴脊髓神经损伤患者28例,采用后路经椎弓根减压椎管前壁成形与AF内固定同时植骨融合治疗,对其预后及随访结果进行分析。结果28例患者平均随访18个月(6个月～4年),Cobb角术前平均31°,术后矫正为10°。28例中26例术后神经功能恢复提高1～3个Frankel分级。结论本技术方法具有创伤相对较小、操作简便、减压充分、内固定牢固、方便植骨融合等优点,且矫正脊柱后凸畸形,恢复椎管容积,重建脊柱稳定性,促进脊髓神经功能恢复,是一种治疗胸腰段椎体爆裂骨折伴脊髓神经损伤有效方法之一。Objective:To require into a better operative method for treating brust fractures of thoracolumber spine with spinal cord injury.Methods:From February 1998 to April 2002,posterior decompression with pedicle of vertebrae arch and AF interal fixation and grafting fusion were used in 31 patients,suffering from thoracolumber brust fractures with spinal cord inury in our department,28 of them were involved in a longitudinal study.Results:Twenty-eight patients had been followed-up for an average of 18 months(6 months to ~4 years). The preoperative average angle of posterior prominence was 31 degrees,and the postoperative average angle was 10 degrees.Twenty-six patients′ nervous function had improved by one grade or more according to Frankel′s grading.Conclusion:Posterior decompression with pedicle of vertebrae arch and AF interal fixation for thoracolumber brust fractures with spinal cord injury has advantages of less injury,simple manipulation,thorough decompression,reliable fixation and conventient plating bone.It can recover the volume of the spinal canal,correct the kyphosis,reconstruct the spinal stability and improve spinal cord or nerve function.

关 键 词：治疗 脊髓神经损伤 AF内固定 减压 椎弓根 胸腰椎爆裂骨折 椎管 平均 目的 促进 

分 类 号：R683.2[医药卫生—骨科学] R681[医药卫生—外科学]