临床骨科杂志Issue(4)：373-376,4.DOI:10.3969/j.issn.1008-0287.2014.04.005
经伤椎内固定椎间椎体内打压植骨治疗胸腰椎骨折
Interbody fusion and transpedicular grafting following posterior reduction and short-segment instrumentation for thoracolumbar fracture using pedicle screws at the fracture level
张银顺 1杨庆国 1李伟 1张建湘1
作者信息
- 1. 安徽医科大学第一附属医院骨科三病区，安徽 合肥230022
- 折叠
摘要
Abstract
Objective To explore the efficacy of posterior reduction and short-segment instrumentation for thoracolum-bar fracture using pedicle screws at the fracture level combined with interbody fusion and transpedicular grafting. Methods 21 patients with thoracolumbar fracture were treated with posterior reduction and short-segment instrumen-tation using pedicle screws at the fracture level combined with interbody fusion and transpedicular grafting. The ante-rior vertebral body height of the injured vertebra, the segmental Cobb angle, bone graft healing were assessed under plain anteroposterior and lateral radiographs at preoperation,one-week after operation,and at the final follow-up. Re-sults All patients had solid fusion without implant failure within 12~32 months of follow-up. The anterior vertebral body height was 95. 1% ± 3. 2% at one-week after operation and 93. 9% ± 3. 6% at the final follow-up. Compared with that at pre-operation (39. 6% ± 10. 3%), they were both improved significantly (P<0. 01). The segmental Cobb angle were 12. 2° ± 2. 9° at one-week after operation and 12. 9° ± 3. 5° at the final follow-up. Compared with that at pre-operation (33. 7° ± 6. 2°), they were also both improved significantly (P<0. 01). Both the anterior ver-tebral body height and the segmental Cobb angle at the final follow-up were similar with that at one-week after opera-tion (P>0. 05). Conclusions Posterior reduction and short-segment instrumentation using pedicle screws at the fracture level combined with interbody fusion and transpedicular grafting is feasible and reliable for thoracolumbar fracture reducing hardware failure and correction loss with one-stage posterior approach.关键词
胸腰椎骨折/伤椎/椎弓根钉/椎间融合/植骨Key words
thoracolumbar fracture/fracture level/pedicle screws/interbody fusion/grafting分类
医药卫生引用本文复制引用
张银顺,杨庆国,李伟,张建湘..经伤椎内固定椎间椎体内打压植骨治疗胸腰椎骨折[J].临床骨科杂志,2014,(4):373-376,4.
