后路复位固定椎体间植骨融合治疗胸腰椎骨折脱位疗效观察  

Curative effect of posterior reduction and interbody fusion in the treatment of thoracolumbar fractures and dislocations

作　　者：刘志[1] 

机构地区：[1]滕州市中心人民医院骨创科,山东省滕州277500

出　　处：《中国基层医药》2014年第19期2924-2926,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨后路复位固定椎体间植骨融合治疗胸腰椎骨折脱位的临床疗效及其对神经功能的影响。方法选取12例胸腰椎骨折脱位患者，采用后路复位固定椎体间植骨融合的方法对其进行治疗。观察患者术后椎体前缘高度、脊柱Cobb角、神经功能、内固定并发症，并评价临床疗效。结果12例患者术后伤椎高度[（90．4±9．8）％]较治疗前[（56．7±7．9）％]明显增加（t＝9．3，P＜0．05）；Cobb角术后[（7．9±2.9）°]较治疗前[（28．4±3．8）°]明显减小（t＝14．9，P＜0．05）；神经功能等级明显改善（A级由2例变成1例；B级由5例变成1例；C级由4例变成2例；D级由1例变成6例；E级增加至2例），无严重并发症出现。结论采用后路复位固定椎体间植骨融合治疗胸腰椎骨折脱位的临床疗效确切，值得临床推广应用。Objective To investigate the clinical effects of posterior reduction and interbody fusion in the treatment of thoracolumbar fractures and dislocations ,and its impact on the neural function .Methods 12 cases with thoracolumbar fractures and dislocations were treated with posterior reduction and interbody fusion .After treatment , flange height ,Cobb angle ,nerve function ,complications of internal fixation were observed ,and the clinical efficacy was evaluated.Results The anterior height of fractured vertebrae was significantly increased from （56.7 ±7.9）% to （90.4 ±9.8）% in 12 patients（t=9.3,P〈0.05）;Cobb angle was significantly reduced from （28.4 ±3.8）＆#176;to （7.9 ±2.9）°（t=14.9,P〈0.05）;The grade of neural function was obviously improved （from 2 cases A,5 cases B, 4 cases C and 1 case D to 1 case A,1 case B,2 cases C,6 cases D and 2 cases E）,and there were no serious compli-cations.Conclusion The clinical effect of posterior reduction and interbody fusion in the treatment of thoracolumbar fractures and dislocations was good ,which is worthy of clinical application .

关 键 词：脊柱骨折 脱位 脊柱融合术 

分 类 号：R687.3[医药卫生—骨科学]