非融合内固定技术在脊柱胸腰段骨折中的应用  

Application of nonfusion internal fixation method in thoracolumbar spinal fractures

作　　者：刘成[1] 王志杰[1] 杨文玖[1] 张官锋 褚言琛[1] 侯庆先[1] Liu Cheng Wang Zhijie Yang Wenjiu Zhang Guanfeng Chu Yanchen Hou Qingxian(Department of spinal Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266555, Chin)

机构地区：[1]青岛大学附属医院脊柱外科,266555

出　　处：《中华实验外科杂志》2016年第11期2586-2588,共3页Chinese Journal of Experimental Surgery

摘　　要：目的 探讨脊柱胸腰段骨折应用非融合内固定技术的临床疗效.方法 选取24例因胸腰段骨折行后路椎弓根内固定非融合治疗的患者.所有患者均在骨折术后10～18个月取出内固定,随访患者至少12个月,通过术前、术后、内固定取出前、内固定取出后及最后随访的影像学指标,评估患者骨折椎体前缘压缩率及Cobb角的恢复程度和胸腰段脊柱的稳定性及活动度,另外临床方面,患者主观感受及满意度也被评估.结果 术前患者的椎体前缘压缩率为（52.24±0.13）％,Cobb角为（13.19±17.66）°,视觉模拟评分法（VAS）评分为（7.33 ±1.37）分.在最后的随访中,患者的椎体前缘压缩率为（27.31±0.10）％,Cobb角为（8.21±9.92）°,VAS评分为（0±0）分.3个指标最后随访的结果都比内固定术前好,差异有统计学意义（P＜0.05）.结论 非融合内固定技术在治疗脊柱胸腰段骨折中可以获得较满意疗效.Objective To investigate the clinical efficacy of posterior stabilization of thoracolumbar spinal fracture using transpedicular internal fixation and nonfusion technique.Methods Twenty-four patients with thoracolumbar spinal fractures received the treatment of transpedicular internal fixation and nonfusion technique was selected.After 10 to 18 months,the implants were removed from all patients after initial fracture fixation.All cases were followed up for at least 12 months.The compressibility of vertebral anterior edge,the cobb angle and the stabilities and motions of thoracolumbar spinal in flexion/extension,right-left bending view were measured radiologically.Clinical aspects,subjective feelings and degrees of satisfaction were also investigated.Results Before using transpedicular internal fixation and nonfusion technique,the compressibility of vertebral anterior edge,the cobb angle and the visual analogue scale （VAS） score were respectively （52.24 ± 0.13）%,（13.19 ± 17.66） ° and （7.33 ± 1.37） scores.At final follow-up,the above three indices were improved respectively to （27.31 ± 0.10）%,（8.21 ±9.92） ° and （0 ± 0） scores.And the differences between the two phases were statistically significant （P 〈0.05）.Conclusion The nonfusion internal fixation technique can get better clinical efficacy in managing thoracolumbar spinal fractures.

关 键 词：内固定 胸腰段骨折 椎体前缘压缩率 COBB角 

分 类 号：R683.2[医药卫生—骨科学]