中国骨伤2011，Vol.24Issue(1)：19-20,2.DOI:10.3969/j.issn.1003-0034.2011.01.006
硬脊膜外颗粒骨植骨融合的临床应用
Clinical evaluation of morselized bone graft fusion on epidural
陈学武 1葛成孟 1林仲可 1林帆1
作者信息
- 1. 温州市第二人民医院骨科,浙江,温州,325027
- 折叠
摘要
Abstract
Objective:To investigate the safety of epidural morselized bone graft fusion after posterior spinal decompression for the patients. Methods: From January 2006 to August 2009,41 patients who need posterior spinal decnmpression were treated with morselized bone graft fusion between adjacent vertebral lamina on epidural. There were 24 males and 11 females,ranging in age from 18 to 58 years with an average of 37 years. The height of injured spinal body, nerve functional recovery, iatrogenic spinal stenosis were observed or analyzed by X-rays and CT scannings before and after operation. Results:All the patients were followed up from 4 to 25 months with an average of 17 months. No internal fixation loosing or breakage or iatrogenic spinal stenosis caused by bone graft were found. The anterior height of compressed vertebral body restored from preoperative 51％ to postoperative 98％. The Cobb angle was corrected from preoperative 25.2° to postoperative 1.6°. No loss of vertebral height after removal of internal fixation was found in all the patients. The nerve function of 35 patients with thoracolumbar bursting fractures and fractures and dislocations increased 1 to 3 grades according to Frankel standard. Conclusion :The technique of morselized bone graft fusion on epidural after posterior spinal decompression can rebuild and increase spinal stability,of which the rate of fusion is higher, moreover,it can not result in iatrogenic spinal stenosis. So it is an easy, reliable and safe operative method.关键词
胸椎/腰椎/脊柱骨折/骨移植/减压术,外科引用本文复制引用
陈学武,葛成孟,林仲可,林帆..硬脊膜外颗粒骨植骨融合的临床应用[J].中国骨伤,2011,24(1):19-20,2.
