GSS-Ⅱ通用型脊柱内固定系统在胸腰椎骨折治疗中的应用  

Application of general spine system Ⅱ(GSS-Ⅱ) in the treatment of thoracolumbar fracture

作　　者：李海平[1] 龙朝仪[1] 孔志强[1] 成本强[1] 吴世寨[1] 彭海峰[1] 潘乐[1] 

机构地区：[1]肇庆市第一人民医院骨外科,广东肇庆526021

出　　处：《中国基层医药》2005年第10期1370-1371,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨GSS-Ⅱ通用型脊柱内固定系统治疗胸腰椎骨折的复位情况及疗效。方法用GSS-Ⅱ通用型脊柱内固定系统固定胸腰椎骨折上下椎体,撑开达到复位,有神经损伤表现者行椎板减压、脊髓探查、去除压迫骨块。结果35例胸腰椎体骨折患者,骨折椎体82.85%达到恢复高度。多个椎体骨折恢复高度较单个椎体差,有前后纵韧带及左右移位较无韧带损伤和无移位者差,术前脊髓损伤严重者术后恢复差,而脊髓损伤由压迫引起,解除压迫后效果好。结论GSS-Ⅱ通用型脊柱内固定系统固定节段少,对胸腰椎生理弯曲影响少,抗旋转性好。Objective To explore the reduction and efficacy of general spine system-Ⅱ （GSS-Ⅱ ） in the treatment of thoracolumbar fracture. Methods 35 patients with thoracolumbar fracture were treated with GSS- Ⅱ by distracted upper and below vertebra body and reduction; The patients with nerve injury were treated by decompression of lamlnectomy,spinal exploration and removing the oppressed bone mass. Results The high degree of vertebra of patients with thoracolumbar fracture was recovered in 82.85 % . The high degree of simple vertebra was better than that of multiple vertebras; The high degree with no injured ligament and dislocation was better than that with injured ligament and dislocation. The postoperative recovery was bad in patients with severe spinal injury, the spinal injury caused by pressure recovered well after removing the pressure. Conclusions The efficacy of GSS- Ⅱ in treating thoracolumbar fracture is better than Harrington＇s rod and Lugue rol;The affect to physiological curvature of thoracolumbar is no obvious because the fixed vertebra is few, and its anti-rotation is well.

关 键 词：脊柱骨折 内固定器 骨折固定术 内 通用型脊柱内固定系统 胸腰椎骨折 骨折治疗 胸腰椎体 脊髓损伤 腰椎生理弯曲 系统治疗 

分 类 号：R687[医药卫生—骨科学]