椎弓根固定治疗强直性脊柱炎合并胸腰椎骨折  

Transpedicle spinal fixation for thoracolumbar fracture with ankylosing spondylitis

作　　者：王瑞[1] 孔晓川[1] 李健[1] 柳伟[1] 杨立辉[1] 安立琨[1] 

机构地区：[1]北京朝阳医院骨科,北京100043

出　　处：《临床骨科杂志》2010年第4期381-383,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨强直性脊柱炎合并胸腰椎骨折经椎弓根固定治疗效果。方法对5例强直性脊柱炎合并胸腰椎骨折患者行后路复位椎弓钉内固定,在伤椎上下各固定2个椎体。结果 5例均获得随访,时间10～38个月。骨折愈合良好,内固定物无松动和断裂。2例脊髓神经损伤按Frankel分级由C级恢复至E级。结论强直性脊柱炎合并胸腰椎骨折经后路复位椎弓根内固定,在伤椎上下固定2个椎体,可获得坚强内固定,骨折愈合良好。Objective To probe the clinic outcome of transpedicle spinal fixation for thoracolumbar fracture with ankylosing spondylitis.Methods 5 cases of thoracolumbar fractures with ankylosing spondylitis underwent open reduction and internal fixation with pedicle screws at two segments in both ends of the fracture.Results All of the 5 patients were followed up for 10 to 38 months.Solid bone healing was achieved in all of the patients.There were no complications related to the internal fixation systems.2 cases with spinal cord injure achieved Frankel＇s class E from class C recovery.Conclusions It is effective to treat thoracolumbar fractures with ankylosing spondylitis by reduction and internal fixation with pedicle screws at two segments in both ends of the fracture.Fracture union can be achieved in all patients treated by operation.

关 键 词：脊柱炎 强直性 胸腰椎骨折 骨折固定术 内 椎弓根螺钉系统 

分 类 号：R681.51[医药卫生—骨科学] R683.2[医药卫生—外科学]