自锁式悬吊牵引法缓慢复位治疗无神经症状胸腰椎骨折的应用研究  

Application of Hyperextension and Gradual Reposition and Rectification Fracture in Treatment of Thoracolumbar Fracture Without Neurological Deficit by Self-lock Hyperextension Frame

作　　者：王拴柱[1] 王春江[1] 祝成社[1] 陈利明[1] 李培钢[1] 施振强[1] 

机构地区：[1]内蒙古包头市第四医院骨四科,014030

出　　处：《中国骨与关节损伤杂志》2011年第5期404-407,共4页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨无神经症状胸腰椎骨折非手术治疗的效果及优点。方法自2000年6月-2010年1月，采用笔者自行设计的自锁式悬吊牵引架缓慢闭合复位治疗无神经症状胸腰椎骨折562例（609个椎体）。通过回顾资料及行影像学复查完成治疗前后以及随访时伤椎前缘高度百分比、矢状面指数（SI）的测定和后期疼痛与工作能力的评定。结果平均治疗时间11周，随访时间平均28个月。治疗后伤椎前缘高度百分比及矢状面指数明显恢复，治疗前后差异有统计学意义。疼痛分级较治疗前明显降低，工作能力显著恢复。结论采用自锁式悬吊牵引缓慢闭合复位方法治疗无神经症状胸腰椎骨折可明显恢复椎体高度，矫正成角畸形，使脊柱获得长期稳定性。Objective To explore the clinical outcome and advantages of non-surgical treatment of thoracolumbar fracture without neurological defect. Methods From Jun. 2000 to Jan. 2010, 562 cases of thoracolumbar fracture without neurological defect were treated nonsurgically. A kind of suspension traction frame designed by ourselves was used to treat thoracolumbar fracture without neurological deficit. The data of cases were reviewd and the spinal fractures were checked by means of standard X-ray. The percentage of damaged vertebral height and change of Cobb angle were measured before and after treatment as well as follow-up after treatment. Pain and work were evaluated according to the method of Denis. Results Mean time of therapy was 11 weeks . Mean follow-up was 28 months. Before and after treatment, there was very significant difference in the effectiveness of restoration.Pain and work according to the method of Denis were very significant different before and after the treatment. The rate of Denis pain grade was improved obviously. Conclusion The hyperextension reposition is effective and safe for the treatment of thoracolumbar fracture without neurological deficit. It has an advantage in reposit.ion and rectification fracture, as well as improvement of pain and work.

关 键 词：胸腰椎骨折 无神经损伤 悬吊牵引复位 

分 类 号：R683.2[医药卫生—骨科学]