前路减压、钛网支撑植骨、Z-Plate钢板内固定治疗陈旧性胸腰段脊柱骨折  

The treatment of old thoracolumbar spinal fracture with anterior decompression and titanium rete supporting bone autograft and Z-Plate fixation system

作　　者：陈梓锋[1] 郭延杰[1] 林斌[1] 练克俭[1] 郭志民[1] 

机构地区：[1]解放军第175医院骨科,福建漳州363000

出　　处：《临床骨科杂志》2005年第4期304-306,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨陈旧性胸腰段脊柱骨折伴脊髓损伤的前路减压和应用Z-Plate钢板内固定及钛网支撑植骨的优点。方法对48例陈旧性胸腰段脊柱骨折伴脊髓损伤的病例进行回顾性分析。结果48例均行前路椎管减压、钛网支撑植骨及Z-Plate钢板内固定。平均随访时间16.5个月,术后椎体间均获骨性融合,95.8%患者神经功能有不同程度恢复,平均改善1.1级,无并发症发生。结论该方法可充分利用切除的肋骨和减压碎骨块进行植骨,避免取自体髂骨,纠正脊柱后凸,提高椎体间融合率,以重新获得脊柱的稳定性。Objective To study the advantages of anterior decompression, internal fixation with Z-Plate fixation system and titanium fete supporting bone autograft for old thoracolumbar spinal fracture with spinal cord injury. Methods 48 cases of old thoracolumbar spinal fracture with spinal cord injury had been carried out analysis, retrospectively. Results 48 cases were performed anterior decompression and Z-Plate fixation with titanium rete supporting bone autograft. The average follow-up time was 16. 5 months. All got intervertebral bony fusion. The function, of spinal cord was improved 1.1 grades on average in 95.8% of all cases according to the Frankel classification. No complication was found. Conclusions It could sufficiently utilize the bone in spinal decompression for autograft, avoid autograft of iliac bone, correct the spinal kyphosis,increase the spinal fusion rate and regain spinal stability with anterior decompression and titanium rete for supporting bone autograft using Z-Plate fixation system.

关 键 词：胸腰椎 脊柱骨折 陈旧性骨折 前路减压 Z-PLATE钢板 钛网 

分 类 号：R683[医药卫生—骨科学]