临床骨科杂志2013，Vol.16Issue(4)：381-383,3.DOI:10.3969/j.issn.1008-0287.2013.04.008
伤椎置钉技术治疗合并骨质疏松症的胸腰段爆裂骨折
Pedicle fixation at the level of fracture on thoracolumbar burst fractures in patients with osteoporosis
柳超 1田纪伟 1王雷1
作者信息
- 1. 上海交通大学附属第一人民医院骨科,上海200080
- 折叠
摘要
Abstract
Objective To investigate the curative effect of pedicle fixation at the level of fracture for thoracolumbar burst fractures in patients with osteoporosis.Methods The clinical data of thoracolumbar burst fractures in 36 patients with osteoporosis,single segment fracture and neurological intact were analyzed retrospectively.Pedicle screws was inserted into the injured vertebra and the height of the collapsed vertebra fractures were reduced with position and instrument.VAS and SF-36 scoring systems were used to evaluate patients' pain and life quality.The kyphotic correction rate and loss of correct rate of fracture level was counted by X-ray.Results All patients were followed up for 9 ～48 months.There were significant differences (P =0.000) in VAS score between last follow-up 2.98 ± 1.25 and postoperation 2.09±1.12 with preoperation 7.42 ± 1.05,respectively.And also there was significant difference (P ＜0.05) in SF-36 score between last follow-up 122.5 ± 24.3 and postoperation 93.7 ± 16.5.The Cobb angle was corrected to 6.5° ±2.1°of postoperation from 34.3° ±7.4° preoperation,and the correct rate was 81.5％ ± 5.4％,7.1° ±4.3°of last follow-up and the loss of correct rate was 9.2％ ± 3.6％.There was no loosening or breakage of internal fixations.Conclusions Pedicle fixation at the level of fracture is a safe and effective method as it can maintain reduction as well as decreasing the rate of correction loss and internal fixation failure.关键词
椎弓根螺钉/伤椎置钉/骨质疏松/胸腰椎骨折/爆裂性骨折Key words
pedicle screw/ vertebra fracture fixation/ osteoporosis/ thoracolumbar fractures/ burst fracture分类
医药卫生引用本文复制引用
柳超,田纪伟,王雷..伤椎置钉技术治疗合并骨质疏松症的胸腰段爆裂骨折[J].临床骨科杂志,2013,16(4):381-383,3.
