临床骨科杂志2015，Vol.18Issue(6)：655-657,3.DOI:10.3969/j.issn.1008-0287.2015.06.006
非相邻多节段脊柱骨折诊治分析
Diagnosis and treatment of multiple-level noncontiguous spinal fractures
王刚祥 1周海东 1赵阳虎 1王志刚 1周亮 1徐宏宇 1宋南炎 1迟英俊1
作者信息
- 1. 嵊州市人民医院骨科,浙江 嵊州 312400
- 折叠
摘要
Abstract
Objective To investigate the surgical methods and outcome of multiple-level noncontiguous spinal frac-tures. Methods 21 patients with multiple-level noncontiguous spinal fractures diagnosed by X-ray, CT and MRI were undergone anterior decompression and bone grafting and internal fixation and/or posterior pedicle screw fixation. Pain visual analogue scale( VAS) and Cobb angle of vertebral body with critical injury were compared between preop-eration and the last follow-up. Results 21 patients were followed up for 12~36 months. VAS: preoperative score was 7. 0 ± 1. 2, the last follow-up 2. 2 ± 0. 5; Cobb angle: preoperative angle was 25° ± 2. 8°, the last follow-up 5° ± 1. 5°. The difference was statistically significant between degrees of preoperation and the latest follow-up( P<0. 05). According to JOA score,14 cases were excellent, good in 3, poor in 4. Conclusions The patients with mul-tiple-level noncontiguous spinal fractures should undergo the surgery of decompression and restoration of normal spinal sequence and the reconstruction of spinal stability mainly according to the critical injury section and non critical injury section.关键词
脊柱骨折,多节段/植骨/后路椎弓根钉固定Key words
spinal fractures/multiple segment/bone graft/posterior pedicle screw fixation分类
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王刚祥,周海东,赵阳虎,王志刚,周亮,徐宏宇,宋南炎,迟英俊..非相邻多节段脊柱骨折诊治分析[J].临床骨科杂志,2015,18(6):655-657,3.
