Z-plate钢板内固定治疗胸腰椎爆裂性骨折50例分析  

Clinical alanyze of application of Z-plate anterior fixation system for 50 thoracolumbar fracture

作　　者：巩万钧[1] 丁相东[2] 吕仕银[1] 何平[1] 

机构地区：[1]四川省遂宁市大英县人民医院骨科,遂宁629300 [2]四川省遂宁市中医院骨科,遂宁629000

出　　处：《重庆医科大学学报》2008年第8期1016-1018,共3页Journal of Chongqing Medical University

摘　　要：目的:评估Z-plate钢板治疗胸腰椎爆裂性骨折的效果。方法:50例胸腰椎爆裂性骨折前路减压、植骨融合、Z-plate钢板系统内固定。结果:4例失访,46例经4～36月随访,按Frankel功能分级:36例术前有神经症状者完全恢复正常,8例部分恢复,2例无任何恢复,无神经功能加重,所有患者无内固定物的松动断裂。结论:Z-plate钢板是一种疗效可靠的胸腰椎前路内固定系统,稳定性佳,操作安全,并发症少。Objective：To evaluate clinical efficacy of Z-plate and indications for the anterior fixation system for thoracolumbar fracture. Methods：50 cases of thoracolumbar fracture underwent direct anterolateral decompression with sagittal reduction and corpectomy,antologous bone-grafting reconstruction and Z-plate fixation procedure. Results：4 cases were lost to follow-up,and 46 cases were followed up from 4 to 36 months.According to Frankel classification of neurologic deficit,36cases with neurologic deficits recovered completely;8 cases obtained a good functional outcome;2 case didn＇t recoved;No patient had neurologic deterioration after surgery Neither breakage of loosening of connections wac found, conclusion：Z-plate system is an effective ideal thoracoiumbar anternal fixation system. It has the advantages of reliable easy manipuplation,safety andless comlications.

关 键 词：Z-PLATE钢板 胸腰椎爆裂性骨折 脊髓损伤 

分 类 号：R683.1[医药卫生—骨科学]