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经伤椎置钉在胸腰椎骨折治疗中的应用

夏雪 刘东昕 胡钦晓 李学东

中国伤残医学2016,Vol.24Issue(8):5-7,3.
中国伤残医学2016,Vol.24Issue(8):5-7,3.DOI:10.13214/j.cnki.cjotadm.2016.08.002

经伤椎置钉在胸腰椎骨折治疗中的应用

Application on posterior short-segment thoracolumbar fracture fixation combined with fracture level screw in the treatme nt of unstable thoracolumb ar bur st fractures

夏雪 1刘东昕 1胡钦晓 1李学东1

作者信息

  • 1. 汕头大学医学院第一附属医院骨科,广东汕头 515041
  • 折叠

摘要

Abstract

Objective:To evaluate the clinical efficacy of posterior short-segment thoracolumbar fracture fixation combined with frac-ture level screw in the treatment of unstable thoracolumbar burst fractures.Methods:Twenty-four patients with unstable thoracolumbar burst fractures were treated by short-segment posterior instrumentation with fracture level screw incorporation.Clinical result(Oswestry Disability Index ) and radiologic parameters( percentage of anterior body height compression , local kyphosis and upper intervertebral an-gle) were evaluated before surgery, after surgery, and at follow-up.Results:The average follow-up was 16 months.Clinical result ac-cording to ODI was satisfying.Anterior body height and local kyphosis were corrected satisfactorilly intraoperatively and maintained stable until final follow-up.Conclusion:Inclusion of the fracture level into the construct offers a satisfactory clinical result, providingd good in-traoperative kyphosis correction and maintenance in the treatment of unstable thoracolumbar burst fractures.

关键词

不稳定胸腰椎骨折/后路短节段钉棒内固定/伤椎椎弓根钉

Key words

Unstable thoracolumbar fractures/Short-segment pedicle instrumentation/Fracture level screw

分类

医药卫生

引用本文复制引用

夏雪,刘东昕,胡钦晓,李学东..经伤椎置钉在胸腰椎骨折治疗中的应用[J].中国伤残医学,2016,24(8):5-7,3.

中国伤残医学

1673-6567

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