应用RECO脊柱复位固定系统治疗无神经损伤的胸腰段椎体骨折  

The use of RECO spinal repositioning and fixation system in the treatment of non-nerve injury thoracolumbar fractures

作　　者：袁春[1] 欧阳跃平[1] 苟三怀[1] 袁文[1] 刘岩[1] 叶添文[1] 徐盛明[1] 席炎海[1] 

机构地区：[1]第二军医大学附属长征医院骨科,上海200003

出　　处：《临床骨科杂志》2009年第2期121-123,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨RECO脊柱复位固定系统治疗无神经损伤胸腰段椎体骨折的疗效。方法对20例无神经损伤的胸腰段椎体骨折患者应用RECO脊柱复位固定系统进行复位内固定手术。结果20例均获随访,时间4～8(6.2±1.3)个月。手术切口均一期愈合,骨折临床愈合时间2～4(3.1±0.8)个月。术后患者伤椎椎体前缘高度从术前的53.00%±12.00%恢复至94.00%±4.10%,伤椎椎体后缘高度从术前的74.00%±18.00%恢复至95.8%±3.40%,术前术后比较差异有显著性(P<0.01)。Cobb角从术前的17.1°±8.4°恢复至术后的1.4°±4.3°,术前术后比较差异有显著性(P<0.01)。结论应用RECO脊柱复位固定系统是治疗无神经损伤胸腰段椎体骨折的有效方法,疗效满意。Objective To evaluate the effect of RECO spinal repositioning and fixation system in the treatment of non-nerve injury thoracolumbar fractures. Methods A total of 20 cases with non-nerve injury thoracolumbar fractures were treated with RECO spinal repositioning and fixation system. Results 20 patients were followed up for （6. 2± 1.3） months（4 to 8 months）. All of the operative incisions got primary healing and time of fracture clinical healing was （3.1 ±0.8 ） months （2 to 4 months ）. The anterior edge height of the fractured vertebrae was restored from（ 53.00 -± 12.00）% to （94. 00± 4. 10）% , and the posterior edge height of the fractured vertebrae body was restored from （ 74.00 ±18.00 ） % to （ 95.8 -±3.40 ） % postoperatively, which both demonstrated improvement compared with preoperative instance（ P 〈0. 01 ）. The Cobb angle was restored from（ 17. 1 ± 8.4） degrees to （ 1.4 ± 4. 3 ） degrees, which also demonstrated improvement compared with the preoperative Cobb angle （P 〈 0. 01 ）. Conclusions RECO spinal repositioning and fixation system is a good spinal fixation system for the treatment of non-nerve injury thoracolumbar fractures with satisfactory results.

关 键 词：胸腰段 脊柱骨折 椎弓根螺钉 RECO脊柱复位固定系统 骨折固定术 内 

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