钉-棒内固定系统治疗胸腰椎多段骨折  

Nail-baculum internal fixation system to treat several S-T segment S-T francture of thoracic waist centra

作　　者：侯忠学[1] 周利强[1] 谭均[1] 许冰[1] 彭晓[1] 班照楠[1] 

机构地区：[1]成都市第五人民医院骨科,四川成都611130

出　　处：《四川医学》2009年第1期59-61,共3页Sichuan Medical Journal

摘　　要：目的探讨钉-棒内固定系统治疗胸腰椎多节段骨折伴脊髓损伤的临床疗效。方法回顾分析我科2003年6月-2007年5月采用钉．棒内固定治疗胸腰椎多段骨折患者18例。脊髓功能按ASIA分级和评分进行术前、术后对比。18例患者均采用钉．棒内固定系统作内固定及椎管减压，据X线片测量术后椎体高度恢复情况及Cobb角的变化，经Cr观察骨折骨愈合。结果18例随访11个月～3．5年，平均2．1年，术后椎体高度均恢复近正常并获得骨愈合，脊髓功能ASn分级和评分术后平均改善2．6级。结论钉。棒内固定系统操作简便，固定切实可靠，可有效地恢复伤椎椎体高度，在治疗胸腰椎多段骨折中，临床有其独特的优点。Objective To probe the clinical curative effect of nail-baculum internal fixation system to heal the several S-T segement S-T francture of thoracic waist centra with spinal cord injury.Methods Retrospective analysis the 18 cases in the department of orthopacdics in our department which used nail-baculum internal fixation system to heal several S-T segement S-T francture of thoracic waist centre from June, 2003 to May; 2007. According to ASIA class and score spinal cord function contrast preoperative with after operation, 18 eases are all used nail-bacuhtm internal fixation system to do internal fixation and vertebral cunal decompression. Later we measure the elevation of centra after operation to see how it recrperate and Cobb Angel＇s alleosis by X aetinogram. And we analysis bone healing by CT. Results There are 18 cases following to visit between 44 weeks to 286 weeks. （Average： 100 weeks）A11 the elevition of centra recuperate to be normal or almost normal and bone healing. According to ASIA class and score spinal cord function improve at the average of 2.6 grade after operation. Conclusion Nail-baculum internal fixation system in clinical treating several S-T segement S-T francture of thoracic waist centra have its distinct adventage.It is not only convenient of handling operation,but also safety fixation.It can recuperate effectually the elevation of wound centra.

关 键 词：胸腰椎 脊髓损伤 钉-棒系统 

分 类 号：R687.3[医药卫生—骨科学]