后路次全脊椎截骨内固定术治疗陈旧性胸腰椎骨折  

Posterior approach meta-whole vertebrae osteotomony internal fixation in teratment of the old thorocolumbar verterbral fractrure

作　　者：郑杰[1] 杨永宏[1] 张冬生[1] 楼肃亮[1] 邹庆[1] 钱金黔[1] 

机构地区：[1]解放军第117医院骨一科,杭州310013

出　　处：《颈腰痛杂志》2007年第5期383-385,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的介绍后路次全脊椎截骨内固定术治疗陈旧性胸腰椎骨折的手术方法和效果。方法1995年～2006年对56例陈旧性胸腰椎骨折患者采用后路次全脊椎截骨内固定术治疗,术后随访手术效果。结果随访时间3个月～5年,腰腿痛缓解情况按Oswestry评分与术前相比有统计学意义,P<0.05,Frankel分级改善明显。所有患者术后3个月、1年、2年X线片检查均未出现内植物松动、断裂,后凸角度由术前的平均33°矫正到术后的14°,与术前相比有统计学意义,P<0.05。结论后路次全脊椎截骨内固定术以较小的创伤较大程度的矫正了陈旧性胸腰椎骨折的后凸畸形,恢复了脊髓和神经的功能,收到了良好的手术效果。Objective To introduce the method and effect of posterior approach meta-whole vertebrae osteotmony and internal fixation in treatment of the old thorocolumbar verterbral fractures. Methods From1995 to 2006,treated 56 cases patients suffered from the old thorocolumbarverterbral fractures with posterior approachmeta-whole vertebrae osteotmony and internal fixation,followed up the operation effect. Results Followed up from months to 10 years,according to Oswestry score,the status of backleg pain relievement had statistical significance compared to that of the preoperative,P〈0.05,Frankel grade improved obviously. All patients X-rays of the 3th month,the first year and the second year didn＇t appear the interplantation＇s clinch and breakage. Kyphotic angle was corrected from the preoperative average 33° to 14° and had statistical significance compared to that of the preoperative,P〈0.05. Conclusion Posterior approach nleta-whole vertebrae osteotmony and internal fixation corrected larger degree the kyphosis deformity of old thorocolumbar verterbral fractures,recovered the function of the spinal cord and nerves,got better operation effect.

关 键 词：后路 次全脊椎截骨 内固定术 陈旧性胸腰椎骨折 

分 类 号：R683.2[医药卫生—骨科学] R687.32[医药卫生—外科学]