经皮椎弓根钉棒置入结合椎体成形治疗胸腰椎压缩性骨折  

Percutaneous pedicel screw fixation combined with vertebroplasty for thoracolumbar compression fractures

作　　者：汪群[1] 隋福革[1] 汪丽静[2] 李恒[1] 郭明峰[1] 王强[1] 王东军[1] 田国峰[1] 

机构地区：[1]大庆龙南医院(齐齐哈尔医学院第五附属医院),黑龙江省大庆市163453 [2]大庆油田总医院集团脑血管病医院,黑龙江省大庆市163000

出　　处：《中国组织工程研究》2014年第17期2716-2721,共6页Chinese Journal of Tissue Engineering Research

摘　　要：背景:胸腰椎骨折多采用传统开放复位内固定,需要广泛剥离肌肉及软组织以显露骨性标志及植骨床,出血多、创伤大。目前脊柱微创技术受到人们广泛关注。目的:探讨应用经皮椎弓根螺钉内固定结合椎体成形治疗胸腰椎压缩性骨折的可行性及疗效。方法:选择2007年9月至2012年5月黑龙江省大庆龙南医院骨科收治的损伤平面以下无神经功能损害,无需进行椎板减压的单纯胸腰椎骨折患者32例,分为2组,经皮微创组16例应用Sextant经皮椎弓根钉棒系统置入内固定结合椎体成形治疗,传统开放组16例采用传统切开椎弓根内固定治疗。比较两组患者的临床参数及影像学指标。结果与结论:所有病例随访12-38个月,治疗后患者均恢复椎体高度并矫正椎体后凸畸形。与传统开放组比较,采用Sextant经皮椎弓根钉棒系统置入内固定结合椎体成形组患者创伤小,手术时间短,出血少,住院时间短,恢复快。提示经皮椎弓根钉棒系统置入内固定结合椎体成形治疗胸腰椎压缩性骨折操作简便,安全可靠,具有创伤小、出血少、疼痛轻、恢复快、住院时间短等优点。BACKGROUND：Open reduction and internal fixation has been used widely in treatment of thoracolumbar fracture. This method needs to peel off muscle and soft tissues to expose bony marker and bone graft bed, so it induces bleeding and great injury. Minimal y invasive technology has been aroused wide concern in spinal fracture. OBJECTIVE：To investigate the feasibility and efficacy of percutaneous pedicellscrew fixation （Sextant） combined with vertebroplasty in treatment of thoracolumbar compression fractures. METHODS：A total of 32 patients with thoracolumbar compression fractures were selected from Department of Orthopedics of Longnan Hospital of Daqing City of Heilongjiang Province in China between September 2007 and May 2012. Al the cases had no neurological symptoms below the injured plane. Decompression laminectomy was not required. They were equal y divided into two groups. 16 patients of the Sextant group were treated by Sextant combined with vertebroplasty, 16 patients from the traditional open group were subjected to open surgery with classical pedicle screw fixation. The clinical and radiographic data were analyzed in both groups. RESULTS AND CONCLUSION：Al cases were fol owed up for 12 to 38 months. After treatment, the height of fractured level and the kyphosis angle were restored. Compared with the traditional open group, less trauma, short operation time, less blood loss, short hospital stay and fast recovery were observed in the Sextant group. Results indicated that the technique of percutaneous pedicellscrew fixation （Sextant） combined with vertebroplasty in treatment of thoracolumbar compression fractures is simple to operate, safe, reliable, has less trauma, less blood loss, light pain, fast recovery and short hospital stay.

关 键 词：植入物 脊柱植入物 胸腰椎骨折 经皮 椎体成形 内固定 

分 类 号：R318[医药卫生—生物医学工程]