经椎弓根内固定治疗胸腰椎爆裂骨折  

Treatment of Thoracolumbar Vertebral Burst Fracture with Transvertebral Pedicle Internal Fixation

作　　者：杨勇[1] 赵建民[1] 王建华[1] 刘广辉[1] 路全立[1] 邵斌[1] 王跃文[1] 

机构地区：[1]内蒙古医学院第一附院骨科,呼和浩特市010050

出　　处：《中国矫形外科杂志》2001年第4期331-333,共3页Orthopedic Journal of China

摘　　要：目的 :探讨胸腰椎爆裂骨折的最佳内固定方式。方法 :分析 32例胸腰椎爆裂骨折患者的临床资料 ,改进胸椎椎弓根螺钉进钉点的定位方法。结果 :32例平均随访 2 4个月。后凸成角术前平均 2 4° ,术后 10° ;椎体前高术前平均35 % ,术后 95 % ;椎管狭窄率术前平均 5 5 % ,术后 10 %。 2 9例获得Frankel 1～ 3级以上的改善。结论 :经椎弓根内固定治疗胸腰椎爆裂骨折具有创伤小、出血少、操作简便、复位满意、固定可靠等优点 。Objective: In order to research the best internal fixation for thoracolumbar burst fracture(TLBF).Methods:Thirty-two patients with TLBF received circle spinal canal decompression and transvertebral pedicle internal fixation(TPIF).Results:Thirty-two cases had been followed-up for an average of 24 months(3～54 months).The preoperative average kyphotic angles were 24 degrees,and the postoperative were 10 degrees.The preoperative height of the vertebral body was 35 per cent,and the postoperative height was 95 per cent.The spinal canal stenosis was notably improved.Twenty-nine patients had improved nervous function by one to three grades according to Frankel's grading.Conclusions:TPIF for patient with TLBF has advantages of less injury,less bleeding,simple manipulation,satisfied reduction,reliable fixation,etc.TPIF was the first choice of internal fixation for TLBF.

关 键 词：胸椎 爆裂骨折 内固定 外科手术 治疗 

分 类 号：R683.2[医药卫生—骨科学]