北京大学学报（医学版）2012，Vol.44Issue(6)：851-854,4.DOI:10.3969/j.issn.1671-167X.2012.06.009
经皮微创短节段固定治疗伴后方韧带复合体损伤的胸腰段骨折
Minimally invasive percutaneous pedicle screw fixation for the treatment of thoracolumbar fractures and posterior ligamentous complex injuries
方礼明 1张亚军 1张军 1黄楠 1左镇华 1李兵 1王博 1林华刚1
作者信息
- 1. 武警北京市总队第二医院骨科,北京100037
- 折叠
摘要
Abstract
Objective: To evaluate the efficacy and safety of minimally invasive percutaneous pedicle screw for the management of neurologically intact patients with thoracolumbar burst fractures and posterior ligamentous complex injuries. Methods; In the study, 35 patients were reviewed,including 20 males and 15 females, with an average age of 34. 1 years (18 to 52) , and the mean follow-up for 25. 8 months (24 to 36). Results; The duration of surgery was (95. 8±2. 3) minutes and intraoperative blood loss was (83.0+40.7) Ml. There were no major perioperative complications, with the exception of 2 patients who developed a superficial wound infection. LKA and VBH were significantly improved immediately after surgery ( P < 0. 001). No significant loss of correction was observed in all the patients ( P > 0. 05 ). Screw misplacement was observed in 9/140 (6.4% ) and no patient showed neurological deficit as a result of screw misplacement. Conclusion; The minimally invasive percutaneous pedicle screw has a good clinical outcome in the treatment of thoracolumbar burst fractures with posterior ligamentous complex injury, which could maintain the fracture reduction effectively, and minimize the iatrogenic soft tissue injury.关键词
胸椎/腰椎/外科手术,微创性/骨折固定术,内/韧带Key words
Thoracic vertebrae/ Lumbar vertebrae/ Surgical procedures, minimally/ Fracture fixation, internal/ Ligaments分类
医药卫生引用本文复制引用
方礼明,张亚军,张军,黄楠,左镇华,李兵,王博,林华刚..经皮微创短节段固定治疗伴后方韧带复合体损伤的胸腰段骨折[J].北京大学学报（医学版）,2012,44(6):851-854,4.
