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胸腰段椎体爆裂性骨折后缘骨块的手术处理分析

王浩磊

中国社区医师Issue(22):20-21,2.
中国社区医师Issue(22):20-21,2.DOI:10.3969/j.issn.1007-614x.2015.22.12

胸腰段椎体爆裂性骨折后缘骨块的手术处理分析

Analysis of operative management of posterior marginal vertebral bone block in thoracolumbar burst fracture

王浩磊1

作者信息

  • 1. 467000平煤神马医疗集团总医院创伤骨科一区
  • 折叠

摘要

Abstract

Objective:To analyze the operative management method and effect of posterior marginal vertebral bone block in thoracolumbar burst fracture.Methods:38 patients with thoracolumbar burst fracture were selected.The clinical data were retrospectively analyzed.Results:38 patients all acquired the followed up.20 patients were given the anterior approach,the neurological functions all had 1~3 level improvement according to the Frankel classification;X-ray showed that the vertebral height reached the anatomical reduction;the vertebra posterior marginal vertebral bone block all returned to the vertebral internal;the spinal bone graft fusion rate reached 100%.20 patients were given the posterior approach,the fracture healing was good;the vertebral height recovered well;the spinal fusion was good;the neurological functions all had 1~3 level improvement.Conclusion:Using open reduction and vertebral canal decompression bone graft fusion and internal fixation operation in the treatment of posterior marginal vertebral bone block in thoracolumbar burst fracture can provide effective fixation,and reduce the complications.

关键词

胸腰段椎体爆裂性骨折/后缘骨块/手术处理

Key words

Thoracolumbar burst fracture/Posterior marginal vertebral bone block/Operative management

引用本文复制引用

王浩磊..胸腰段椎体爆裂性骨折后缘骨块的手术处理分析[J].中国社区医师,2015,(22):20-21,2.

中国社区医师

1007-614X

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