中国骨伤2012，Vol.25Issue(10)：838-841,4.DOI:10.3969/j.issn.1003-0034.2012.10.013
原位转棒复位治疗胸腰段单节段压缩骨折
Surgical treatment of thoracolumbar single compression fracture by using in situ rod rotation reduction
张宇鹏 1任东风 1吴叶 1王华东 1马超 1商卫林 1吴闻文 1侯树勋1
作者信息
- 1. 解放军总医院第一附属医院骨科,北京100048
- 折叠
摘要
Abstract
Objective:To evaluate the efficacy and clinical outcome of the treatment of thoracolumbar single compression fracture by using in situ rod rotation reduction and short segment pedicle screw at the fracture level. Methods: From December 2008 to May 2010,12 cases of traumatic thoracolumbar single compression fracture (T11-L2) were treated,including 9 males and 3 females,with an average age of 35.8 years old (ranging from 24 to 52). There were 2 case with Tn fracture,2 cases with T12,6 cases with L1 and 2 cases with L2,without osteoporosis,pathological fractures or neurologic deficits. Radiographic data were collected preoperatively,5 days postoperatively and at last follow-up (at least 12 months). Cobb's angle,vetebral compression ratio,internal fixation state were observed. Results: All patients were followed up from 12 to 30 months postoperatively, with an average of 19 months. There was no pseudoarticulation and solid bone fusion was achieved in all cases. There were no complications such as loosening or rupturing of internal fixation and so on. Sagittal kyphotic Cobb angle was corrected from preoperative (25.8±9.4)° to postoperative (6.7+2.3)° and (6.9±2.6)° at last follow-up. The percentage of vertebral compression was corrected from preoperative (42.5±10.4)% to postoperative(7.5±3.9)% and (8.4±4.5)% at last follow-up.There was significant difference between the postoperative data and preoperative data (P<0.05) .while the difference was not significant between the postoperative data and the last follow-up (P>0.05). Conclusion:The thoracolumbar single compression fracture can obtain and maintain a good restoration by using the technic of in situ rod rotation reduction and short segment pedicle screw at the fracture level. The technique should be highly recommended.关键词
脊柱骨折/胸椎/腰椎/骨折固定术,内Key words
Spinal fracture/ Thoracic vertebrae/ Lumbar vertebrae/ Fracture fixation, internal引用本文复制引用
张宇鹏,任东风,吴叶,王华东,马超,商卫林,吴闻文,侯树勋..原位转棒复位治疗胸腰段单节段压缩骨折[J].中国骨伤,2012,25(10):838-841,4.
