摘要
目的：综合评价ＡＦ椎弓根螺钉内固定系统治疗胸腰椎骨折的效果。方法：回顾分析３２例应用ＡＦ经椎弓根内固定系统治疗的胸腰椎骨折患者手术前后的临床体征、Ｘ线片和ＣＴ。结果：３２例患者椎体前缘高度由术前５８％恢复至９７％，椎体后缘（中柱）高度由术前７６％恢复至９８．７％，Ｃｏｂｂｓ角由术前平均１９．１°恢复至术后１．８°。椎管内移位骨块复位率达９０％。平均随诊２０．５个月，瘫痪恢复按ＡＳＩＡ分级：Ａ级中３例无变化，余２９例均提高１～２级。结论：ＡＦ椎弓根内固定系统能达到精确复位固定及椎管有效减压。
Objective:To comprehensively evaluate the clinical results treating patients with unstable throacolumbar fractures by AF(atlas fixation system).Method:A total of 32 cases with unstable thoracolumbar fractures were reviewed.All patients were treated by AF operation and evaluated with clinical sings,X-ray and CT before and after operation.Result:Of 23 cases,anterior height of compressed vertebral bodies was restord from 58% preoperatively to 97% postoperatively,posterior height was from 76% to 98.7%.Cobb's angle was corrected from 191° preoperatively to 18° postoperatively.CT idenfified that the reduction rate of bone block that fratured and migrated into vertebral canal was 90%.They were followed up for an average of 205 months.According to ASIA classification,3 patients who were at A grade had no change and others progressed 1-2 grade.Conclusion:AF instrumentation can achieve anatomical reduction,decompression of spinal cord effectively and streng then interior fixation.It is one of the best devices for the treatment of thoracolumbar fractures
出处
《中国脊柱脊髓杂志》
CAS
CSCD
1998年第4期197-200,共4页
Chinese Journal of Spine and Spinal Cord
关键词
脊柱骨折
脊髓损伤
AF椎弓根螺钉
治疗
内固定
Thoracolumbar fracture\ Spineal cord injury\ Reduction\ Fixation\ AF instrumentation
