中国临床医学2016，Vol.23Issue(1)：48-52,5.
后路短节段固定结合经伤椎椎弓根植骨治疗胸腰椎骨折
Posterior Short Segment Pedicle Screw Fixation Combined with Transpedicular Intracorporeal Grafting in ;Treatment of Thoracolumbar Fractures
摘要
Abstract
Objective: To evaluate the clinical efficacy of posterior short segment pedicle screw fixation combined with transpedicular intracorporeal grafing in the treatment of thoracolumbar fractures .Methods :The clinical data of 30 patients with thoracolumbar fractures ,who were admitted and treated with posterior short segment pedicle screw fixation combined with transpedicular intracorporeal grafting during June 2011 and June 2013 ,were retrospectively analyzed .The operation time ,intra‐operational bleeding amount , preoperative and postoperative visual analogue scale (VAS ) score ,the ratio of anterior and posterior vertebral height ,Cobb angle ,neurological function(Frankel grade) and complications were recorded .Results:All the cases had been followed up for 14 .6 months averagely(range from 6 to 23 months) .There was significant difference between the VAS score at the last follow‐up and the preoperative one (P<0 .05) .The ratio of anterior and posterior vertebral height as well as the Cobb angle improved significantly at the 3rd day after operation and the last follow‐up as compared with preoperative ones(P<0 .05) .The ratio of anterior and posterior vertebral height as well as Cobb angle at the 3rd day after operation was not significantly different from that at the last follow‐up(P>0 .05) .The postoperative Frankel grade in patients with neurological function damage improved significantly .There was no breakage or loosening happened with the internal fixation .Conclusions :The posterior short segment pedicle screw fixation combined with transpedicular intracorporeal grafting can reconstruct vertebral body height ,rebuild anatomic form of vertebra ,obtain better kyphosis correction ,maintain the correction effect and avoid the long term lumbago and back pain .This surgical method is safe and effective .关键词
胸腰椎骨折/椎弓根固定/椎弓根植骨Key words
Thoracolumbar fractures/Pedicle screw fixation/Transpedicular intracorporeal grafting分类
医药卫生引用本文复制引用
陈农,周海林,周凯华,高如峰,刘佐庆..后路短节段固定结合经伤椎椎弓根植骨治疗胸腰椎骨折[J].中国临床医学,2016,23(1):48-52,5.基金项目
上海市卫生和计划生育委员会资助项目（编号20124304）；复旦大学附属中山医院青浦分院项目（编号QYM2012-12）；上海市医学重点专科建设资助项目（编号ZK2012A36）；上海市青浦区卫生和计划生育委员会学科带头人项目 （）
