胸腰椎骨折内固定方法应用的比较分析  

The Comparison of Application about Internal Fixation Method Applied to Thoracolumbar Fracture

作　　者：王兴水[1] 

机构地区：[1]广东省东莞市厚街医院,广东东莞523945

出　　处：《中国医学创新》2013年第13期43-44,共2页Medical Innovation of China

摘　　要：目的:比较分析胸腰椎骨折内固定方法的应用效果。方法:对82例患者分别采用后路内固定(后路减压式内固定方式Harrington和后路经椎弓根内固定AF系统)及前路内固定Kaneda方式进行手术治疗,比较治疗后伤椎Cobb’s角和前、后缘高度改善情况,以及Frankel分级变化情况、并发症发生情况。结果:Cobb’s角和前、后缘高度改善情况及Frankel分级上,AF较之Harrington与Kaneda效果更佳;另外,Harrington与AF较之Kaneda,并发症发生率相对更少。结论:治疗胸腰椎骨折时,应根据患者的具体情况选择合适的内固定方式,后路方式可行的前提下可优先考虑采用。Objective： To compare and analysis the application effect of internal fixation method applied to thoracolumbar fracture,Method： The 82 patients were surgical treatment respectively with internal fixation of posterior （ internal fixation of decompression from the posterior called Harrington and internal fixation from the posterior through the pedicle of vertebral arch called AF system ） and internal fixation from the front path called Kaneda, then compare the the improvement about cobb＇s angle of injured spinal cord and the height of front and rear edge, the changes of Frankel classification and the adverse reaction case after treatment.Result： The effect of AF was better than Harrington and Kaneda on cobb＇s angle and the height of front and rear edge; The adverse reaction case of Harrington and AF was less than Kaneda.Couclusion： Medical clinical should choose the right way of internal fixation when treatment with thoracolumbar fracture, internal fixation of decompression from the posterior can be considered first in the feasible premise.

关 键 词：胸腰椎骨折 内固定方法 应用 比较 

分 类 号：R687.3[医药卫生—骨科学]