AF系统治疗不稳定型胸腰椎骨折的疗效分析  

Treatment Outcome of Unstable Thoracolumbar Fractures after AF Internal Fixation

作　　者：陈东[1] 

机构地区：[1]江苏省滨海县人民医院,江苏滨海224500

出　　处：《河北医学》2008年第11期1291-1293,共3页Hebei Medicine

摘　　要：目的：探讨AF内固定系统治疗不稳定型胸腰椎骨折的疗效。方法：采用AF系统治疗不稳定型胸腰椎骨折病人29例，术后随访12～36个月，平均24个月。全部病例均于术前、术后行X线检查及术前行CT检查，记录伤椎前、后缘高度、Cobb’s角。结果：术前、术后相比，伤椎前、后缘平均高度由术前47％、69％恢复到术后94％、98％；Cobb’角由术前的10°-40°矫正到术后的O°～6°；术后神经功能恢复按Frankel标准，除A级6例无恢复外，其余病例中6例D级及4例C级完全恢复，2例C级恢复至D级。8例B级恢复到C级。结论：AF内固定系统治疗不稳定型胸腰椎骨折具有良好的伤椎复位、纠正脱位、稳定脊柱等作用。临床疗效满意。Objective： To evaluate the treatment outcome of AF internal fixation for unstable thoraco- lumbar fractures. Method： Twenty - nine patients of unstable thoracolumbar fractures were treated with AF instrumentation. The period of following up for all patients was ranging from 12-36 months, with an average of 24 months. They had been checked by the conventional radiography preoperation and postoperation, and been checked by the CT scanning preoperation. Results： By comparing the index of preoperation and postoperation, the height of compressed vertebral body was restored from 47% to 94% preoperatively and 69% to 98% postoperatively. And the Cobb angle was corrected from 10°-40°preoperatively to 0°-6° postoperatively among the 29 patients. Frankel grade was improved in most cases. Conclusion： Using AF instrumentation for unstable thoracollumbar vertebrae fracture can reduce vertebra body and correct dislocated fracture, stabilize the spine.

关 键 词：胸腰椎骨折 内固定 

分 类 号：R687.3[医药卫生—骨科学]