钉棒固定系统治疗不稳定性骶骨骨折的研究进展  

Research progress in screw‑rod fixation system in the treatment of unstable sacral fracture

作　　者：郑健雄 向杰[2] 冯小仍 刘飞[1] 陈滨[1] Zheng Jianxiong;Xiang Jie;Feng Xiaoreng;Liu Fei;Chen Bin(Division of Orthopedics and Traumatology,Department of Orthopedics,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Department of Orthopedics and Traumatology,First Affiliated Hospital of University of South China,Hengyang 421001,China)

机构地区：[1]南方医科大学南方医院骨科-创伤骨科,广州510515 [2]南华大学附属第一医院创伤骨科,衡阳421001

出　　处：《中华创伤杂志》2022年第10期938-946,共9页Chinese Journal of Trauma

基　　金：广东省教育厅高水平建设经费南方医科大学临床研究启动项目(LC2019ZD001);南方医科大学南方医院临床研究专项(2019CR016)。

摘　　要：不稳定性骶骨骨折通常由高能量损伤所致,常导致脊柱骨盆力学传导结构受损,引起行走功能障碍。由于骶骨复杂的局部解剖、独特的生物力学和较差的骨质量,骶骨骨折的治疗一直是一个挑战。钉棒固定系统在治疗变异骶骨骨折及较为严重骶骨骨折中一直发挥着重要作用。随着新技术的引入,钉棒固定系统已衍变出多种结构类型,根据固定范围是否延伸至脊柱分为脊柱骨盆稳定技术和骨盆稳定技术两大类。笔者从生物力学性能和临床疗效方面对骶骨骨折治疗相关钉棒固定系统的研究进展进行综述,为临床内固定的选择提供参考。Unstable sacral fracture is usually caused by high⁃energy trauma.Unstable sacral fracture often results in damage to the mechano⁃conductive structures of the spine and pelvis and thereby affects walking dysfunction.Treatment of sacral fracture has been a challenge due to the complex local anatomy,unique biomechanics and poor bone quality of the sacrum.The screw⁃rod fixation system has always played an important role in the treatment of variant sacral fracture and more severe sacral fracture.With the introduction of new technology,the screw⁃rod fixation system has evolved into a variety of structural types.According to whether the fixation range extends to the spine,it can be divided into two categories including spine⁃pelvic stabilization techniques and pelvic stabilization techniques.The authors review the progress of the screw⁃rod fixation system in the treatment of sacral fracture from aspects of biomechanical properties and clinical efficacy,so as to provide a reference for the selection of clinical internal fixation.

关 键 词：骶骨 骨折固定术 内 椎弓根螺钉 

分 类 号：R687.3[医药卫生—骨科学]