经椎旁肌间隙入路伤椎固定治疗无神经损伤胸腰椎骨折  

作　　者：顾海潮[1] 唐镇江[1] 叶国裕[1] 黄信源[1] 

机构地区：[1]云南省中医医院骨伤科一病区,650021

出　　处：《中国现代药物应用》2012年第18期22-24,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨经椎旁肌间隙入路伤椎椎弓根内固定治疗无神经症状胸腰椎骨折的手术方法及临床疗效。方法采用经椎旁肌间隙入路伤椎椎弓根内固定系统治疗无神经症状的胸腰椎性骨折28例,对比术前术后Cobb角、椎体前缘高度及椎管内骨块占位情况与术后相比差异。结果 28例随访,手术结果优良。对比术前术后Cobb角、椎体前缘高度及椎管内骨块占位情况与术后相比差异有统计学意义(P<0.05),术后与末次随访时差异无统计学意义。结论采用经椎旁肌间隙入路伤椎椎弓根内固定系统治疗,可有效地矫正和防止脊柱后凸畸形,避免晚期腰背痛及迟发性神经损伤等后遗症,具有创伤小,出血少,固定坚强,术后恢复快,患者满意度高等优点。Objective Discussion on paravertebral muscle injury gap approach vertebral pedicle inter- nal fixation for thoraco-lumbar spine fracture without nerve symptoms and clinical effect of operative methods. Methods Introduction of paravertebral muscles in injury gap approach vertebral pedicle screw internal fixation system in the treatment of 28 cases of thoracolumbar fracture without nerve symptoms, as compared with preop- erative postoperative Cobb angle, vertebral body height and spinal bone block occupancy compared with postop- erative differences. Results 28 eases, surgical results excellent. Comparison between before and after Cobb angle, front of vertebral body height and spinal bone block occupancy compared with postoperative difference statistically significant P 〈 0.05, postoperative and follow-up at the end the difference was not statistically sig- nificant. Coneltmion Paraspinal muscle injury gap approach vertebral pedicle internal fixation system in the treatment, can be effective in correcting and preventing kyphosis, avoid advanced low back pain and delayed neurological sequelae of injuries, with small wounds, bleeding little fixed stronger, faster postoperative recover- y, high on patient satisfaction.

关 键 词：胸腰椎骨折 椎旁肌间隙入路 伤椎椎弓根内固定 

分 类 号：R687.3[医药卫生—骨科学]