应用通用型脊柱内固定系统治疗胸腰椎骨折48例  

Effects of general spinal system on the treatment of thoracolumbar vertebrac burst fracture in 48 cases

作　　者：王继华[1] 汪明星[1] 霍维岭[1] 

机构地区：[1]徐州医学院第二附属医院骨科,江苏省徐州221000

出　　处：《中国基层医药》2009年第11期1979-1980,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察后路脊柱内固定系统（GSS）对胸腰椎爆裂骨折的疗效。方法对48例胸腰椎爆裂骨折病人，采用后侧入路，GSS撑开复位、减压、植骨融合。结果术后MRI、CT、X线复查：椎体高度恢复，椎管面积基本正常，脊柱矢状面生理曲度恢复。随访8-25个月，无断钉及骨不愈合。按Frankel分级术后神经功能，32例有1～3级恢复。结论GSS具有操作简便、复位效果好、植骨融合率高及固定可靠的优点，在脊柱内固定器械中具有较明显的优越性，是治疗胸腰椎爆裂骨折脱位有效方法之一。Objectives To observe the effects of posterior GSS instrument interal fixiation on the treatment of thoracolumbar vertebrae burst fracture. Methods Forty-eight cases with thoracolumbar vertebrae burst fracture were surgically treated with posterior decompression,autograft bone fusion and GSS internal fixation. Results After operation, X-ray films and CT scan demon-strated that the height of corpus vertebrae, the area of spinal cannal and sagittal plane were all restored to normal. The patients were followed up for 8 to 25 months. No pedicle screw cracking occurred. According to Frankel＇s grading,nerve functions,32 cases improved from Grade Ⅰ to Grade Ⅲ after operation. Conclusions GSS has the advantages of easy manipulation, good reduction, high fusion rate and reliable internal fixation in thoracolumbar vertebrae fracture and is one of the best devices for the treatment of thoracolumbar vertebrae fracture.

关 键 词：脊柱骨折 内固定器 骨折固定术 内 

分 类 号：R687[医药卫生—骨科学]