经伤椎水平截骨治疗Ⅴ度陈旧性胸椎骨折脱位  

Short-term currative effect of horizontal osteotomy across injured vertebral for Ⅴ degree old fracture-dislocations of thoracolumbar spine

作　　者：田冠玉[1] 宋磊堂 常旭东[1] 闫涛[1] 路岩[1] 董波[1] 崔运利[1] 

机构地区：[1]解放军第230医院骨科,辽宁丹东118000

出　　处：《局解手术学杂志》2016年第7期500-503,共4页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨经伤椎水平截骨治疗Ⅴ度陈旧性胸椎骨折脱位的近期临床疗效。方法回顾性分析我院2010年4月至2012年10月4例接受经伤椎水平截骨、植骨内固定术的患者资料,其中T_8-T_9骨折脱位1例、T10-T11骨折脱位2例、T_（11）-T_（12）骨折脱位1例,术前脊髓损伤Franke1分级均为A级。结果 4例病例术中均完全复位、术后1周佩戴支具坐起,4例病例均获得随访,随访时间2-14个月（平均7.4个月）,4例病例均获骨性融合,但术后Franke1分级无改善。结论经伤椎水平截骨治疗Ⅴ度陈旧性胸椎骨折脱位近期临床疗效好,具有手术时间短、出血少、复位效果良好等优点。Objective To discuss the short-term currative effect of horizontal osteotomy across injured vertebral forⅤdegree old fracture-dislocations of thoracolumbar spine. Methods The data of 4 patients who received horizontal osteotomy across injured vertebral internal fixation in our hospital from April 2010 to October 2012 were retrospectively analyzed,of which 1 case with T8-9 fracture dislocation,2 cases with T10-11 fracture dislocation,1 case with T11-12 fracture dislocation. The Franke1 classification of all patients were grade A. Results All4 cases were achieved completely fracture reduction and followed-up for 2-14 months（ an average of 7. 4 months）,who could get sitting position with the support of brace 1 week after operation. The postoperative follow-up indicated that all 4 cases got fusion,but there was no improvement for Franke1 classification. Conclusion The method of horizontal osteotomy across injured vertebral forⅤdegree old fracture-dislocations of thoracolumbar spine has good short-term clinical effect,with the advantages of shorter operation time,less bleeding and good reduction effect.

关 键 词：胸椎骨折 胸椎脱位 截骨 近期疗效 

分 类 号：R681.5[医药卫生—骨科学]