山东医药2012，Vol.52Issue(23)：17-18,2.
经伤椎椎弓根自体骨植骨联合螺钉内固定术治疗腰椎压缩性骨折78例效果观察
Effect of transpedicular intracorporeal grafting combined with posterior short-segment pedicle screw via the injured vertebra for treatment of lumbar vertebrae compression fractures ( report of 10 cases)
摘要
Abstract
Objective To explore the clinical efficacy of transpedicular intracorporeal grafting combined with pedicle screw via the injured vertebra for the treatment of lumbar vertebrae compression fractures. Methods A total of 78 patients with lumbar vertebrae compression fractures were treated with transpedicular intracorporeal grafting combined with pedicle screw via the injured vertebra. At the time before operation and 1 week, 7 months after operation, X-ray was performed for evaluating anterior, posterior and central section heights of the injured vertebra and Cobb's angle. Postoperative complications and neurofunctional recovery of the spinal cord were evaluated. Results One week and 7 months after surgery, anterior, posterior and central section heights of the injured vertebra showed good recovery, and the loss of Cobb's angle appeared small. There was no infection of incision and no aggravation of spinal cord function. There was no implant failure and no loss of spinal curvatures. In patients with incomplete injury, neurofunctions showed 1 to 2 grade improvement compared with the findings before operation. Conclusion Transpedicular intracorporeal grafting is effective and safety to repair fractured vertebra in the vertebral body defects.关键词
腰椎压缩性骨折/椎弓根/自体骨,植骨/内固定Key words
lumbar vertebrae compression fractures/ pedicle/ autogenous bone/ bone grafting/ internal fixation分类
医药卫生引用本文复制引用
李振,齐建军,董明岩..经伤椎椎弓根自体骨植骨联合螺钉内固定术治疗腰椎压缩性骨折78例效果观察[J].山东医药,2012,52(23):17-18,2.基金项目
辽宁省教育厅课题项目(2009A452). （2009A452）
