中国组织工程研究与临床康复2011，Vol.15Issue(35)：6536-6539,4.DOI:10.3969/j.issn.1673-8225.2011.35.018
后路钉棒系统置入内固定并侧前方减压植骨融合治疗胸腰椎严重爆裂骨折12例
Posterior screw-rod system fixation combined with anterolateral decompression and bone graft for severe thoracolumbar burst fracture in 12 cases
刘军 1项良碧 1王琪 1陈语 1于海龙 1曹艳1
作者信息
- 1. 解放军沈阳军区总医院骨科,辽宁省沈阳市110016
- 折叠
摘要
Abstract
BACKGROUND: The procedures of anterolateral decompression, bone graft with mesh and internal fixation with screws and rodscan achieve through the same incision in the treatment of thoracolumbar burst fractures.OBJECTIVE: To evaluate the clinical effects of anterolateral decompression, bone graft with mesh and internal fixation withscrews and rods in the treatment of thoracolumbar burst fractures.METHODS: Twelve thoracolumbar burst fracture patients with neurologic defi cit were treated with anterolateral decompression,bone graft with mesh and internal fixation with screws and rods.RESULTS AND CONCLUSION: The mean follow-up time was 16 months. Sufficient decompression, excellent fusion of bonegraft and recovered vertebral body height were achieved in all cases. The Cobb’s angle was rectified from preoperative 22° to 6°postoperatively. And Frankel grade scores were significantly improved in 9 cases (grade 1 in 6 cases, grade 2 in 3 cases, and nochanges in 3 cases). The procedures of anterolateral decompression, bone graft with mesh and internal fixation with screws androds are effective, which can achieve anatomical reduction, complete decompression and restabilization through the same incision.But the operation indications should be restrictedly controlled because of the more trauma and blood loss.关键词
胸腰椎/爆裂骨折/椎管占位/侧前方减压/神经损伤分类
医药卫生引用本文复制引用
刘军,项良碧,王琪,陈语,于海龙,曹艳..后路钉棒系统置入内固定并侧前方减压植骨融合治疗胸腰椎严重爆裂骨折12例[J].中国组织工程研究与临床康复,2011,15(35):6536-6539,4.
