后路三柱重建技术在腰椎爆裂骨折中的应用  

Application of Three Column Reconstruction by Posterior Approach in Treatment of Lumbar Spine Burst Fractures

作　　者：张经纬[1] 校佰平[1] 徐荣明[1] 周龙[1] 李明[1] 毛伟民[1] 马维虎[1] 阮永平[1] 

机构地区：[1]浙江省宁波市第六医院骨科,315040

出　　处：《中国骨与关节损伤杂志》2008年第8期626-628,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨腰椎爆裂骨折应用经后侧入路进行三柱重建技术的可行性与效果。方法采用经后侧入路三柱重建技术治疗8例腰椎爆裂骨折,观察脊柱高度恢复、椎管内占位解除情况。结果骨折椎椎体高度术前平均压缩51%(23%～78%),术后恢复至正常高度的97.1%(95%～99%,P<0.05),椎管内径术前平均压缩30.2%(20%～63%),术后压迫完全解除(P<0.05)。结论经后侧入路进行脊柱三柱重建技术安全性较高,可操作性强,能有效矫正腰椎爆裂骨折的后凸畸形、解除椎管内压迫。Objective To explore the possibility and the efficacy of the technique of three column reconstruction by posterior approach in the treatment of lumbar spine burst fractures. Methods Eight patients with lumbar spine burst fracture were treated with the technique of three column reconstruction by posterior approach. The restoration of vertebral height and decompression of spinal canal were documented. Results All the patients were followed up from 12 to 20 months. The height of the injured vertebral body were restored from 51% （23 % -- 78 % ） preoperatively to 97,1% （95 % -- 99 % ） postoperatively and the repression of spinal cord was relieved posteperatively （P 〈 0.05）. The volume of the injured spinal canal were totally decompressed from 30.2 % （20 % - 63 % ） preoperatively （ P 〈 0.05）. Conclusion The technique of three column reconstruction by posterior approach is safe and very effective to reconstruct the anterior and middle column in treatment of lumbar burst fractures.

关 键 词：手术入路 腰椎 爆裂骨折 

分 类 号：R683.2[医药卫生—骨科学] R814.42[医药卫生—外科学]