中国组织工程研究与临床康复2011，Vol.15Issue(39)：7303-7306,4.DOI:10.3969/j.issn.1673-8225.2011.39.021
中上胸椎后路半椎弓根入路置钉固定技术的临床应用
Clinical application of middle-upper thoracic semi-pedicular fixation via a posterior approach
摘要
Abstract
BACKGROUND: The three-dimens ional stability of middle-upper thoracic pedicle screw fixation is the best. But because of narrow and thin thoracic pedicle and spinal cord within the thoracic spinal canal, it is of high difficult/ and risk for the interna fixation.OBJECTIVE: To explore the clinical effects of middle-upper thoracic semi-pedicular frxation via a posterior approach. METHODS: Fifty-eight patients with upper thoracic diseases were treated with middle-upper thoracic semi-pedicular fixation via a posterior approach. Screws of 45 mm in diameter and 30 mm in length were used at T1-z and screws of 5.0-8.0 mm in diameter and 35-40 mm in length us ed at T3-8.RESULTS AND CONCLUSION: Postoperative thoracic X-ray films and Ctshowed no screws entered the spinal canal, and spinal sequence recovered well, without internal fixation loosening and breakage and other complications. There was no spina cord injury, infection and other complications. All the patients recovered normal life, and pain disappeared in 16 cases. Fortysx patients with incomplete and complete paraplegia could take care of themselves, chest and back pain dis appeared, and no kyphosis occurred. The middle-upper thoracicsemi-pedicular fixation via a posterior approach is reliable.safe and easy.which can be used as a good choice for middle-upper thoracic posterior fixation.关键词
中上胸椎/半椎弓根入路/置钉/固定/临床应用分类
医药卫生引用本文复制引用
杨永军,周纪平,姚树强,姜传杰,于建林,杨凯,谭远超..中上胸椎后路半椎弓根入路置钉固定技术的临床应用[J].中国组织工程研究与临床康复,2011,15(39):7303-7306,4.基金项目
威海市科技发展计划项目(2009-3-89-4),课题名称:中上胸椎后路半椎弓根入路置钉固定技术的基础研究与临床应用. （2009-3-89-4）
