微创椎弓根螺钉内固定术治疗胸腰椎骨折  

Minimally invasive pedicle screw fixation in the treatment of thoracolumbar fractures

作　　者：柏文昆[1] 张大海[1] 胡红耘[1] 

机构地区：[1]淮南东方医院集团总医院骨科,安徽省淮南232001

出　　处：《中国基层医药》2014年第15期2274-2275,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨微创椎弓根螺钉内固定术治疗胸腰椎骨折适应证和疗效。方法选择10例单纯胸腰椎骨折无神经功能损害、无需进行椎管减压的患者，在C型臂X线机下定位病椎及上下相邻椎弓根根部，做4个2．5 cm长的切口，固定与复位均在4个小切口内完成。结果所有患者均恢复椎体高度并矫正后凸畸形。手术时间约2 h，出血量100～150 mL。结论微创椎弓根螺钉内固定术治疗胸腰椎骨折适用于单纯胸腰椎骨折无神经功能损害、无需进行椎管减压的患者，优点是创伤小、术后康复快。Objective To explore the indications and curative effect of minimally invasive pedicle screw fix-ation in the treatment of thoracolumbar fractures .Methods 10 patients with thoracolumbar fractures without neuro-logical damage and the need for vertebral lamina decompression were selected .Under the C arm,the disease vertebral and adjacent vertebral arch spikes were positioned ,four 2.5cm long incisions were done ,fixation and restoration were completed within four small incisions .Results All patients restored vertebral body height and protrusion deformity after correction.The operation time was about 2h,blood loss was 100~150mL.Conclusion The minimally invasive pedicle screw fixation in the treatment of thoracolumbar fractures is suitable for simple thoracolumbar fractures without neurological damage ,the need for patients with vertebral lamina decompression ,it has advantages of small trauma ,fas-ter postoperative recovery .

关 键 词：椎体成形术 骨折 外科手术 微创性 

分 类 号：R687.3[医药卫生—骨科学]