椎弓根螺钉+髂骨螺钉系统固定治疗骨盆后环不稳  

Treatment of the unstable posterior pelvic ring by reduction and fixation of vertebra pedicle screws combined iliac screws

作　　者：刘顺贵[1] 党洪胜[1] 

机构地区：[1]十堰市太和医院骨5科,湖北十堰442000

出　　处：《临床骨科杂志》2013年第4期400-402,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨椎弓根螺钉结合髂骨螺钉复位固定治疗骨盆后环不稳定的临床疗效。方法对12例骶髂关节骨折(脱位)患者采用后路椎弓根螺钉结合髂骨螺钉复位固定。结果患者骶髂关节均达到解剖复位,未发生血管、神经损伤等并发症。12例均获随访,时间6～16个月。骶髂关节均获融合。结论椎弓根螺钉结合髂骨螺钉固定对于骨盆后环不稳定骨折脱位有良好的复位固定作用,临床疗效良好。Objective To evaluate the effect of combined use of pedicle screws and iliac screws technique for patients with the unstable posterior pelvic ring fracture. Methods 12 cases of the unstable posterior pelvic ring fracture were treated with reduction and fixation technique by lumbosacral vertebra pedicle screws and iliac screws. Results All cases achieved anatomic reduction of sacroiliac articulations without vascular and nerve injuries. All the 12 cases were followed up for 6 ~ 16 months. The results showed the sacroiliac joints were fusion. Conduslons The combined usage of pedicle screw and iliac screw technique provided sufficient reduction and fixation for the unstable posterior pelvic ring fracture and dislocation, and the clinical curative effects were good.

关 键 词：骶髂关节骨折脱位 髂骨螺钉 椎弓根螺钉 骨折固定术 

分 类 号：R683.3[医药卫生—骨科学] R684.7[医药卫生—外科学]