Kaneda器械在胸腰段骨折中的应用  

Application of Kaneda Device to Thoracolumbar Fracture

作　　者：张天宏[1] 史可中[1] 彭刚[1] 敖俊[1] 

机构地区：[1]遵义医学院附属医院,563003

出　　处：《中国骨伤》1998年第5期3-5,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的研究Ｋａｎｅｄａ器械在胸腰段骨折中的应用。方法对２１例胸腰段脊柱骨折并截瘫，施行前路减压，Ｋａｎｅｄａ器械内固定的治疗。结果平均随访６个月，按Ｆｒａｎｋｅｌ分级，除３例Ａ级，２例Ｂ级截瘫无好转外，余均有２级以上的改善，术中胸膜破裂２例，无大血管及脊髓神经损伤。结论脊髓前方受压者前路手术能直视下去除压迫，截瘫恢复率高。Ｋａｎｅｄａ器械能立即机械性重建脊柱，患者可提早活动，植骨块不易移位，保证了脊柱的融合。Aim To study the application of Kaneda device to thoracolumbar fracture. Methods 21 cases of thoracolumbar fracture complicated with paralysis have been treated with anterior decompression and Kaneda device internal fixation. Results Following - up 6 months in average, the satisfactory results were obtained. According to Frankel's classification, the improvement of paralysis were higher than 2 grades in all patients, except 3 cases of grade A patients and 2 cases of grade B. During operation, ruptured pleura was occured in 2 cases, but no injury in spinal cord, nerves and large blood vessels. Conclusion Anterior approach operation for anterior compression of spinal cord may relieve the compression under direct vision, with high recovery rate of paralysis. Kaneda device can reconstruct the spine immediately. The patients can do exercise earlier. The grafted bones are not easy to displace. thus ensuring the fusion of the spine.

关 键 词：脊髓损伤 减压术 Kaenda器械 胸腰段骨折 

分 类 号：R683.205[医药卫生—骨科学] R687.1[医药卫生—外科学]