中国组织工程研究Issue(4)：543-547,5.DOI:10.3969/j.issn.2095-4344
改良多裂肌间隙与传统后正中入路椎弓根螺钉置入修复胸腰椎骨折:伤椎稳定性及相关指标比较
Modified transmultifidus approach and posterior central approach of vertebrae pedicle screws in the treatment of thoracolumbar vertebral fractures：vertebral stability and related indexes
摘要
Abstract
BACKGROUND:Traditional treatment of thoracolumbar fractures through posterior central approach may induce trauma. Wiltseet al have proposed the paraspinal approach of vertebrae pedicle screw in the treatment of thoracolumbar fractures. However, this treatment is restricted due to deficient exposure and high surgical technique. It’s widely concerned to reduce surgical trauma and achieve better restoration effect. <br> OBJECTIVE:To analyze the surgical indications and advantages of vertebrae pedicle screws in the treatment of thoracolumbar fractures through the modified transmultifidus approach. <br> METHODS:From September 2011 to September 2013, 30 patients with thoracolumbar fractures were treated with vertebrae pedicle screw in Chengdu University Affiliated Hospital. The involved patients were divided into two groups, receiving pedicle screw fixation through the normal approach and the improved paraspinal approach, respectively. <br> RESULTS AND CONCLUSION:The improved paraspinal approach obviously shortened the screw placement time and the surgical time, reduced blood loss, and improved visual analogue scale scores, compared with traditional posterior central approach of vertebrae pedicle screws in the treatment of thoracolumbar fractures. There was no significant difference in the postoperative improvement of vertebral height and Cobb angles. The modified transmultifidus approach is better than posterior central approach in the improvement of postoperative pain, but shows no difference in the screw placement time, surgical time and blood loss, in treatment of thoracolumbar fractures.关键词
植入物/脊柱植入物/多裂肌间隙入路/椎弓根螺钉/内固定/胸腰椎/脊柱/骨折/国家自然科学基金Key words
Fracture, Compressed/Bone Nail/Thoracic Vertebra/Lumbar Vertebra分类
医药卫生引用本文复制引用
胡正霞,李开南,何智勇..改良多裂肌间隙与传统后正中入路椎弓根螺钉置入修复胸腰椎骨折:伤椎稳定性及相关指标比较[J].中国组织工程研究,2015,(4):543-547,5.基金项目
国家自然科学基金资助项目(81171753)Funding：the National Natural Science Foundation of China, No.81171753 （81171753）
