临床骨科杂志2012，Vol.15Issue(2)：136-139,4.
后路内固定结合经伤椎椎弓根植骨治疗胸腰椎爆裂性骨折
Posterior internal fixation with transpedicle bone graft for thoracolumbar burst fracture
戴斌 1沈海滨 1周克中 1李道龙 1王金荣 1陈东 1许建安 2吕锦瑜 2李志伟2
作者信息
- 1. 滨海县人民医院骨科,江苏,滨海,224500
- 2. 江苏省中医院骨伤科,江苏,南京,210029
- 折叠
摘要
Abstract
Objective To investigate the clinical effects of posterior internal fixation with transpedicle bone graft for thoracolumbar burst fracture. Methods 60 cases with thoracolumbar burst fractures were divided into two groups according to surgical methods: the experimental group underwent posterior pedicle screw fixation with transpedicular bone grafting of 30 patients, while the control group underwent only posterior fixation with posterolateral bone graft of 30 patients. Vertebral height compression, vertebral Cobb angle, fracture healing, fixation complications between 2 groups were reviewed and compared. Results 60 patients were followed up for 12 ~ 18 ( 14. 9 ± 4. 8 ) months. Pre-operation, postoperation 1 week and 3 months, compression of vertebral height and Cobb angle was no significant difference between the two groups ( P > 0. 05 ). The incidence of complications of fixation, compression of vertebral height and Cobb angle between the two groups was statistically significant at postoperative 12 months( P <0. 01 ). Experimental group was better than the control group. There were 12 cases of healing of vertebral fractures in the experimental group at postoperative 3 month, while there were 6 cases in control group. The experimental group was no internal fixation complications, and there were 5 cases suffered instrument failure in control group at postoperative 12 months( 3 cases of screw breaking and 2 case of screw loosening). Compared with preoperative, neurological score was significantly improved after operation, but there were no statistically difference ( P >0. 05 ). Conclusions Posterior internal fixation with transpedicle bone graft for thoracolumbar burst vertebral fractures can promote healing and restore anterior column support, reduce the loss of vertebral height and kyphosis, and reduce the incidence of complications of fixation.关键词
脊柱骨折/爆裂性骨折/胸腰椎/经椎弓根/骨移植/内固定器Key words
spinal fractures/ burst fracture/ thoracolumbar/ transpedicle/ bone graft/ internal fixators分类
医药卫生引用本文复制引用
戴斌,沈海滨,周克中,李道龙,王金荣,陈东,许建安,吕锦瑜,李志伟..后路内固定结合经伤椎椎弓根植骨治疗胸腰椎爆裂性骨折[J].临床骨科杂志,2012,15(2):136-139,4.
