通用型脊柱内固定系统治疗胸腰椎骨折122例临床研究  

Clinical study of general spine system in treatment of thoracolumbar fractures in 122 patients

作　　者：郭哲[1] 黄成效[1] 

机构地区：[1]南通大学芜湖临床学院骨科,安徽芜湖241000

出　　处：《临床军医杂志》2013年第7期681-682,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨应用通用型脊柱内固定系统（GSS）治疗胸腰椎骨折病人的临床疗效。方法选用2001年3月—2011年3月10年间收治的122例脊柱胸腰段胸腰椎骨折患者，对无神经系统症状者，采用后路单纯应用GSS撑开复位内固定，对有神经系统症状者采用后入路部分或全部椎板切除减压，椎管神经根管扩大成形，应用GSS撑开复位内固定，后外侧和椎间融合器植骨融合手术治疗。结果122例均获有效随访，随访时间为12～72（27±6．3）个月，伤椎后凸角度、原突人椎管内骨块及椎体高度均基本复位，椎体高度及后凸角度无明显丢失，术前不全瘫患者中FRANKEL分级改善1～2级。结论应用通用型脊柱内固定系统治疗胸腰椎骨折，具有操作便利，安装简便，复位固定可靠等良好的临床疗效。Objective To investigate the stabile and fixed effectiveness of general spine system （GSS）. Methods A retrospective analysis was performed in 122 patients with thoracolumbar fractures, who were treated by GSS from March 2001 to March 2011. The patients without neurological syndrome underwent GSS distraction reduction fixation through posterior approach; patients with neurological syndrome underwent part or whale laminectomy for decompression, laminoplasty on vertebral canal and nerve root ca- nal, GSS distraction reduction fixation, cage bone-grafting and fusion through posterior-lateral. Results All of the 122 patients were followed up for 12 -72 months （27 ± 6.3 months on average）. Compared with the preoperative vertebral deformity, the postop- erative X-ray film indicated that the kyphotic angle and the height of vertebral anterior border were obviously improved after fixation by GSS. The bone blocks in vertebral canal were reset or dislodged （ no loss of vertebral height or kyphotie angle）. The neural func- tion in the patients with paresis was improved by 1 -2 grade（s） according to Frankel classification. Conclusion GSS applied to thoracolumbar fractures has many advantages such as short time and firm fixation, and the patients can obtain good clinical thera- peutic effects in addition to early routine bed rest.

关 键 词：通用型脊柱内固定系统 胸腰椎骨折 内固定 

分 类 号：R683.2[医药卫生—骨科学]