前路减压、植骨加Z-plate钢板内固定术治疗胸腰椎严重爆裂性骨折  

Anterior Decompression,Grafting and Internal Fixation in the Treatment of Severe Thoraco-lumbar Spinal Burst Fracture

作　　者：李康华[1] 房佐忠[1] 刘文和[1] 熊波[2] 

机构地区：[1]中南大学湘雅医院骨科,湖南长沙410008 [2]郴州市第一人民医院脊柱外科,湖南郴州423000

出　　处：《医学临床研究》2006年第4期493-495,共3页Journal of Clinical Research

摘　　要：【目的】探讨前路减压、植骨加Z-plate钢板内固定术治疗胸腰椎严重爆裂骨折的应用价值。【方法】回顾分析2000-2003年36例前路减压、植骨加内固定术治疗的胸、腰椎严重爆裂性骨折患者的术后疗效及随访情况。【结果】所有患者术中及术后均未出现严重并发症。术后影像学检查除2例有轻度脊柱侧弯外，其余均见脊柱序列和椎管矢径恢复正常。36例患者33例获3～29个月的随访（平均随访7、6个月），平均融合时间3．5个月。患者术后神经功能恢复良好，随访时后凸矫正度无明显丢失。【结论】前路减压、植骨加Z-plate钢板内固定术治疗胸、腰椎严重爆裂性骨折具有良好的减压、复位及固定效果。[Objective]To investigate the applied value of anterior decompression, grafting and mternal fixation with Z-plate instrument in the treatment of severe thoraco-lumbar spinal burst fracture. [Methods]Curative effect and the state of follow-up of 36 patients with severe thoracic and lumbar spinal burst fracture who were performed with anterior decompression, autograft and internal fixation with Z-plate instrument were retrospectively analyzed. [Results]In all patients, severe complications had not appeared in or after operation. Thirty three of 36 cases were followed up 3-29 months （average of 7.6 months ）, The recovery of neural function of all patients was very good and the kyphosis had obviously not lost. [Conclusion]Anterior decompression, grafting and internal fixation with Z-plate instrument have effective decompression , nicer diaplasis and favorable stabilization in the treatment of the patients with severe thoraco-lumber spinal burst fracture.

关 键 词：脊柱骨折/外科学 胸椎 腰椎 骨折固定术 内 

分 类 号：R683[医药卫生—骨科学]