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椎弓根钉系统固定结合经椎弓根自体骨移植治疗胸腰椎爆裂性骨折疗效分析

李小军 王文礼 刘海波

四川医学2012,Vol.33Issue(9):1597-1599,3.
四川医学2012,Vol.33Issue(9):1597-1599,3.

椎弓根钉系统固定结合经椎弓根自体骨移植治疗胸腰椎爆裂性骨折疗效分析

Efficacy of pedicle screw fixation combined with autogenous bone graft by the pedicle treating thoracolumbar burst fracture

李小军 1王文礼 1刘海波1

作者信息

  • 1. 达县人民医院骨科,四川达县635000
  • 折叠

摘要

Abstract

Objective Efficacy of pedicle screw fixation combined with autogenous bone graft by the pedicle treating tho-racolumbar burst fracture. Methods Select 35 cases of thoracolumbar burst fracture were using pedicle screw fixation combined with autogenous bone graft by the pedicle to treat thoracolumbar burst fractures, After 2 to 3 weeks in bed, under the protection of the brace may ambulation. 3 ~4 months to brace activities, Remove the internal fixation after fracture healing,follow-up 30 months. Results After 3 days and the end of follow-up, vertebral injury front, the height of the trailing edge than normal compared with the preoperative was significanttly (P <0. 01). 3 days after surgery compared with the end of follow-up was no significant difference. Cobb angle correction of kyphosis had an significant effect on 3 days after surgery and the end of follow-up ( P < 0. 01). Conclusion Pedicle screw fixation in fractures fixed has a role of early support, the of long-term stability, depends on the vertebrae of the spine biomechanical stability of its establishment; Treating patients of thoracolumbar burst fractures with vertebral pedicle bone graft should be selected vertebral vivo graft, can achieve normal spine series and the purpose of reconstruction of spinal stability.

关键词

椎弓根钉系统固定/自体骨移植/胸腰椎爆裂性骨折

Key words

pedicle screw fixation/autogenous bone graft/thoracolumbar burst fracture

分类

医药卫生

引用本文复制引用

李小军,王文礼,刘海波..椎弓根钉系统固定结合经椎弓根自体骨移植治疗胸腰椎爆裂性骨折疗效分析[J].四川医学,2012,33(9):1597-1599,3.

四川医学

OACSTPCD

1004-0501

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