AF系统复位内固定治疗胸腰椎骨折  

Treatment of Thoracolumbar Spine Fracture with Internal Fixation of AF System

作　　者：郑文忠[1] 陈昆[1] 刘爱刚[1] 潘永太[1] 黄令坚[1] 马国棣[1] 许世建[1] 李志彬[1] 黄钿锋[1] 

机构地区：[1]解放军第180医院骨科,福建省泉州市362000

出　　处：《中国骨与关节损伤杂志》2006年第2期91-93,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的 分析AF系统复位内固定治疗胸腰椎骨折的疗效。方法应用AF系统复位内固定和选择性椎管减压治疗胸腰椎骨折246例，其中椎体屈曲压缩型骨折132例，爆裂型骨折66例，骨折脱位型48例。合并脊髓神经损伤98例，其中完全性神经损伤32例，不完全性神经损伤66例。结果经3～18个月随访，采用摄X线片测定椎体前、后缘高度，前缘术前平均高度42％，术后95％；后缘术前平均高度92％，术后98％。Cobb角术前22°，术后降为3°完全性神经损伤完全恢复4例，部分恢复20例，无恢复8例；不完全神经损伤完全恢复46例，大部分恢复20例。结论AF系统治疗胸腰椎骨折具有复位满意、手术创伤小、操作简单、内固定牢固、容许患者早期下床活动，是治疗胸腰椎骨折的良好内固定器械。Objective To analyze curative effect of AF system in the thoracolumbar spine fracture. Methods Two hundred and fortysix patients with thoracolumbar spine fracture were treated with AF system and selective decompression, including 132 with the flexion -compression, 66 with burst fracture and 48 with dislocation. Among 98 patients with nerve injury, complete injury occurred in 32 patients, partial injury in 66 patients. Results All patients were followed up from 3 months to 18 months with average of 14 months. The average height of the anterior edge of vertebra body was corrected from 42 96 before operation to 95 96 after operation. The average height of the posterior edge of vertebra body was restored to 98 % postoperatively from 92 % preoperatively. The Cobb＇s angle was corrected from 22° before operation to 3° after operation. Among 32 patients with complete nerve injury, complete recovery was achieved in 4 patients, partial recovery in 20 patients and no recovery in 8 patients. Among 66 patients with partial nerve injury, complete recovery was achieved in 46 patients, partial recovery in 20 patients. Conclusion Atlas fixation system has the advantages such as satisfactory reduction, minor surgical injury, easy handling and solid fixation as well as the early mobilization of the patients in treatment of the thoracolumbar fracture. It is an effective treatment instrument for the thoracolumbar fracture.

关 键 词：胸腰椎骨折 AF系统 骨折内固定 

分 类 号：R683.205[医药卫生—骨科学] R683.2[医药卫生—外科学]