单节段经伤椎固定复位治疗胸腰椎骨折的疗效观察  

Efficacy of treating thoracolumbar vertebral fractures through single-segment fixation and reduction of fractured vertebrae

作　　者：庄全魁[1] 陈勇[1] 吴刚强[1] 艾继超[1] 孟晓林[1] 李杨[1] 

机构地区：[1]安徽省阜阳市第二人民医院骨科,236015

出　　处：《中国实用医药》2014年第4期9-10,共2页China Practical Medicine

摘　　要：目的：探讨单节段经伤椎固定复位治疗胸腰椎骨折的疗效及可行性。方法2010年3月-2013年3月采用单节段经伤椎固定复位术治疗21例胸腰椎骨折患者,分析临床资料进行随访分析,观察本术式治疗效果。结果所有患者均顺利完成手术,术中无明显并发症,手术时间40-60 min,,平均51 min；术中出血量100-300 ml,平均176 ml。随访6-27个月,平均16.4个月。随访期间椎体高度均无严重丢失,无钉棒弯曲,松动及断裂。结论单节段经伤椎固定复位术治疗胸腰椎骨折,能够较好地恢复椎体高度, Cobb角近期随访未发现明显矫正度丢失,且有出血少,用时短等优点。Objective To explore the efficacy and feasibility of treating thoracolumbar vertebral fractures through single-segment fixation and reduction of fractured vertebrae. Methods From March 2010 to March 2013, the single-segment fixation and reduction of fractured vertebrae was adopted to treat 21 patients with thoracolumbar vertebral fractures. Then we carried out an analysis of clinical data, performed follow-up analysis and observed the results of this surgical treatment. Results For all patients, the surgery was successfully completed without obvious intraoperative complications. The operation time was 40-60 min with the average of 51 min. The intraoperative bleeding amount was 100-300 ml with the average of 176 ml. The follow-up visit lasted for 6-27 months with the average of 16.4 months. During the follow-up period, no severe loss occurred to the vertebral height and no bending, loosening or breakage to the pedicle screws. Conclusion Adoption of single-segment fixation and reduction of the fractured vertebrae to treat thoracolumbar vertebral fractures can well restore vertebral height. In terms of Cobb angle, no marked correction loss is observed during the recent follow-up visits. It also has the advantages of small bleeding amount and taking a short period of time, etc.

关 键 词：胸腰椎骨折 单节段 伤椎固定 

分 类 号：R687.3[医药卫生—骨科学]