临床骨科杂志Issue(5)：525-527,528,4.DOI:10.3969/j.issn.1008-0287.2015.05.006
前路单节段固定治疗Denis B型胸腰椎爆裂性骨折
Anterior single segmental decompression and fusion to treat thoracolumbar burst fracture of ;the Denis type B
陈志文 1刘晖 1林斌 1丁真奇 1翟文亮1
作者信息
- 1. 解放军第175医院，厦门大学附属东南医院骨科，全军骨科中心，福建 漳州 363000
- 折叠
摘要
Abstract
Objective To explore the treatment efficacy of anterior single segmental decompression and fusion for tho-racolumbar burst fracture of the Denis type B. Methods 18 cases of thoracolumbar burst fractures of the Denis type B were treated through anterior single segmental decompression and fusion. Results All the patients were followed up for 24~36 (27. 7 ± 5. 9) months. ASIA motor scores:the preoperative were 25~44(34. 6 ± 7. 2),final follow-up were 35~50(47. 7 ± 9. 5),improved 13. 1 ± 3. 1 scores (P <0. 05). The preoperative kyphotic Cobb angle was 15. 0°~29. 5°(22. 89° ± 6. 63°),the postoperative with 2° ~5°(3. 13° ± 0. 67°),and the kyphotic Cobb angle of correction was 19. 8° ± 3. 1°(P<0. 05), the Cobb angle was 3°~7°(4. 06° ± 0. 89°) at final follow-up, there was only 0. 9° ± 0. 2° of Cobb angle lost (P>0. 05). Complications were not found including fixation loosening and adja-cent segment degeneration significantly. Conclusions The treatment of anterior single segmental decompression and fusion is significant for thoracolumbar burst fractures of the Denis type B. The technique is a recommended treatment for thoracolumbar burst fractures of the Denis type B.关键词
胸腰椎骨折/爆裂骨折/单节段固定/前路手术Key words
thoracolumbar spine fractures/burst fracture/single segment fixation/anterior approach分类
医药卫生引用本文复制引用
陈志文,刘晖,林斌,丁真奇,翟文亮..前路单节段固定治疗Denis B型胸腰椎爆裂性骨折[J].临床骨科杂志,2015,(5):525-527,528,4.
