Luque与Steffee技术在不稳定型胸腰椎骨折手术中的复位与固定作用  

THE COMPARISON OF CLINICAL OUTCOME OF LUQUE AND STEFFEE METHODS IN TREATING UNSTABLE THORACIC AND LUMBER FRACTURES

作　　者：赵剑[1] 张明[1] 赵敦炎[1] 

机构地区：[1]南通医学院附属医院骨科

出　　处：《南通医学院学报》1999年第1期24-25,共2页ACTA Academiae Medicinae Nantong

摘　　要：目的：比较Ｌｕｑｕｅ与Ｓｔｅｆｅｅ两种技术在不稳定型胸腰椎骨折手术中的复位与固定作用。方法：收集本院１９８９～１９９２年及１９９２～１９９５年间分别采用Ｌｕｑｕｅ与Ｓｔｅｆｅｅ技术治疗胸腰椎不稳定型骨折各３４例，对术前、术后１年Ｘ片伤椎后突角、椎体移位度及压缩度测量比较。结果：对各种不稳定型胸腰椎骨折治疗，Ｓｔｅｆｅｅ技术与Ｌｕｑｕｅ技术相比在复位与固定方面均表现出明显的优越性。结论：Ｓｔｅｆｅｅ技术在治疗胸腰椎骨折方面，比Ｌｕｑｕｅ技术更理想、可靠，更符合脊柱生物力学要求。Objective:The purpose of this study was to evaluate the difference in clinical outcome with Luque's rod or Steffee plate planted to make reduction and fixation of injured vertebrae.Methods:68 patients with unstable thoracic and lumbar fractures were included.34 of them underwent Luque's method in operation from 1989 to 1992 and another 34 underwent Steffee method from 1992-1995.All patients were followed for at least 1 year and received X-ray imaging before operation and 1 year after operation.We evaluated these results by changing angles of kyphsis,degrees of compression and degrees of displacement of injured vertebrae.Results:As to each type of injury (compression type,bursting type or fracture with dislocation),Steffee method is superior to Luque one,it can achieve much stronger fixation and more reduction,which is 70% on average.Conclusion:Steffee plate is more conformed to the biomechanism of spine,and much better than Luque's rod in treating unstable thoracic or lumbar fractures.

关 键 词：胸椎骨折 腰椎骨折 骨折固定术 Steffee技术 

分 类 号：R683.205[医药卫生—骨科学]