摘要
胸腰椎骨折是脊柱常见骨折,约占1/2,后路减压复位四枚椎弓根钉内固定是其最常用的手术术式,具有操作简单、手术创伤小等优点,已逐渐成为传统的治疗方法;但术中伤椎复位欠理想、过度撑开、术后伤椎高度丢失、后凸角度逐渐增大以及椎弓根钉断裂等越来越引起骨科医师的注意^[1]。从2006年10月起笔者采用后路切开伤椎椎弓根钉植入复位固定技术治疗30例胸腰椎骨折,取得了满意的疗效。
出处
《中华急诊医学杂志》
CAS
CSCD
北大核心
2010年第1期100-102,共3页
Chinese Journal of Emergency Medicine
参考文献6
-
1马辉,赵杰,禹宝庆,许硕贵,陈志明,王聪,侯铁胜.胸腰段脊柱爆裂骨折前路与后路手术疗效对比观察[J].中华创伤杂志,2008,24(8):602-604. 被引量:11
-
2Shen WJ, Liu TJ, Shen YS. Nonoperative treatment versus posterior fixation of rthoracolumbar junction burst fractures without neurologic deficit [ J]. Spine, 2001,26 (10) : 1038-1405.
-
3Dick JC, Jones MP, Zdeblick TA, et al. A biomechanical comparison evaluating the use of intermediate screws and Cross-linkage in lumbar pedicle fixation [ J ] . J Spinal Diosrd, 1994,7 (3) : 402-407.
-
4Wawro W, Konrad L, Aebi M. Single segment internal fixator device in treatment of thoracolumbar vertebral fractures[J]. Un. fallchirurg, 1994, 97( 1 ) : 114-120.
-
5Defino HL, Scarpam P. Fractures of thoraeolumbra spine:mono-segmental fixation[ J ]. Injury, 2005,36 : B90-97.
-
6赵斌,罗华云,赵轶波,田江华,马迅.短节段椎弓根内固定并伤椎重建术治疗胸腰椎骨折[J].中华骨科杂志,2009,29(9):817-821. 被引量:27
二级参考文献25
-
1马辉,赵杰.脊柱胸腰段骨折诊断和手术治疗进展[J].国外医学(骨科学分册),2004,25(4):209-212. 被引量:17
-
2吴克俭,张伟佳,王华东,侯树勋,唐家广,李震宙.Cem-Ostetic^(TM)人工骨浆修复骨缺损[J].生物骨科材料与临床研究,2004,1(7):10-13. 被引量:9
-
3Knightly JJ, Sonntag VK. Thoracolumbar fractures//Menezes AH, Sonntag VK, Benzel EC, et al. Principles of spinal surgery. New York(NY) : McGrew - Hill, 1996. 919 -949.
-
4Danisa OA, Shaffrey CI, Jane JA, et al. Surgical approaches for the correction of unstable thoracolumbar burst fractures: a retrospective analysis of treatment outcome. J Neurosurg, 1995, 83 (6) :977 -983.
-
5Haas N, Blauth M, Tscheme H. Anterior plating in thoracolumbar spine injuries. Indication, technique, and results. Spine, 1991, 16 Suppl 3 : S100 - S111.
-
6Schnee CL, Ansell LV. Selection criteria and outcome of operative approaches for thoracolumbar burst fractures with and without neurological deficit. J Neurosurg, 1997, 86 ( 1 ) :48 - 55.
-
7Magerl F, Aebi M, Gertzbein SD, et al. A comprehensive classification of thoracic and lumbar injuries. Eur Spine J, 1994, 3 (4) 184 - 201.
-
8Gertzbein SD, Court-Brown CM, Marks P, etal. The neurological outcome following surgery for spinal fractures. Spine, 1955, 13 (6) :641 -644.
-
9Kuklo TR, Polly DW, Owefis BD, et al. Measurement of thoracic and lumbar fracture kyphosis: Evaluation of intraobserver, interobserver, and technique variability. Spine, 2001, 26 ( 1 ) :61 - 65.
-
10Wood K, Butterman G, Mehbod A. Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit: a prospective randomized study. J Bone Joint Surg (Am), 2003, 85-A(5) :773-781.
共引文献36
-
1黄剑峰,宁锦龙,易椿均,植汉兴,钟向球,骆志明,何木良,党业天.微创经伤椎椎弓根植骨附加伤椎椎弓根螺钉内固定治疗胸腰椎骨折[J].中华临床医师杂志(电子版),2011,5(22):6642-6647. 被引量:24
-
2杨忠义,郭洪章,桂曙光,王家干,马信文.前路手术治疗腰椎椎体爆裂骨折[J].中国修复重建外科杂志,2009,23(7):793-796. 被引量:10
-
3郭学德,袁建华,梁西俊.终板骨折对胸腰椎骨折预后的影响[J].中国矫形外科杂志,2010,18(14):1153-1156. 被引量:1
-
4付平,唐利全,董杨颖.攻瘀复元汤治疗胸、腰椎不稳定骨折或合并不全瘫术后16例[J].中国中医急症,2010,19(8):1415-1416. 被引量:5
-
5刘瀚忠,孔抗美.胸腰椎爆裂性骨折诊治的研究进展[J].汕头大学医学院学报,2010,23(4):243-246. 被引量:1
-
6高志朝,王梅,张妙林,孟永俊,祝卫民,张春.后路单节段侧前方减压前柱重建术治疗Denis B型胸腰椎爆裂骨折[J].中华创伤杂志,2011,27(3):249-253. 被引量:8
-
7胡靖,代洪宾,宋云杰,魏建伟.肌间隙入路短节段钉棒系统结合伤椎椎弓根钉固定治疗胸腰椎骨折[J].中国实用医药,2011,6(10):44-45. 被引量:1
-
8罗狄鑫,金勋杰,孙鸿涛,陈为坚,齐勇,徐汪洋,李超,周晓忠.带有BMP中空侧孔新型椎弓根钉作用特点的实验研究[J].中国骨与关节损伤杂志,2012,27(9):810-812.
-
9刘保和,马宝军,寇博,陈海军.短节段固定结合经椎弓根椎体内植骨治疗胸腰椎骨折[J].宁夏医学杂志,2012,34(11):1134-1136. 被引量:2
-
10黎圣田,吴辉耀,张勇.后路内固定及经椎弓根椎体植骨治疗胸腰椎骨折[J].四川医学,2012,33(12):2145-2147. 被引量:7
同被引文献10
-
1李智斐,钟远鸣,周宾宾,贺启荣.单纯胸腰椎压缩性骨折保守治疗研究进展[J].广西中医学院学报,2006,9(4):87-90. 被引量:25
-
2Farrokhi MR, Razmkon A, Maghami Z, et al. Inclusion of the fracture level in short segment fixation of thoracolumbar fractures[ J]. Eur Spine J,2010,19 (10) :1651 - 1656.
-
3Reddy CG, Magnetta M,Dahdaleh NS, et al. An in vitro bi- omechanical comparison of single-rod, dual-rod, and dual- rod with transverse connector in anterior thoracolumbar in- strumentation [ J ]. Neurosurgery, 2012, 70 ( 4 ) : 1017 - 1023.
-
4MeLain RF. The biomechanics of long versus short fixation for thoracolumbar spine fractures [ J ]. Spine, 2006, 31 (llS) :70 -79.
-
5An HS,Singh K, Vaccaro AR, et al. Biomechanical evalua- tion of contemporary posterior spinal internal fixation con- figurations in an unstable burst - fracture calf spine model : special references of hook configurations and pedicIe screws [ J ]. Spine,2004,29 ( 3 ): 257 - 262.
-
6Norton RP, Milne EL, Kaimrajh DN, et al. Biomechanical a- nalysis of four-versus six-screw constructs for short-segment pedicle screw and rod instrumentation of unstable thoraco- lumbar fractures [ J ]. Spine J ,2014,14 ( 8 ) : 1734 - 1739.
-
7Fan S, Hu Z, Zhao F, et al. Muhifidus muscle changes and clinical effects of one-level posterior lumbar interbody fu- sion: minimally invasive procedure versus conventional open approach [ J ]. Eur Spine J ,2010,19 ( 2 ) : 316 - 324.
-
8Kim DY,Lee SH, Chuang SK, et al. Comparison of muhifi- dus muscle atrophy and trunk extension muscle strength: percutaneous versus open pedicle screw fixation [ J 1. Spine ( Phila Pa 1976 ), 2005,30 ( 1 ) : 123 - 129.
-
9Quint U, Wilke H J, Shirazi-Adl A, et al. Importance of the intersegmental trunk muscles for the stability of the lum- bar spine: a biomechanical study in vitro[J].Spine(Phi- la Pa 1976) , 1998,23 (18) :1937 -1945.
-
10Hu ZJ, Fang XQ, Zhou ZJ, et al. Effect and possible mech- anism of muscle-splitting approach on muhifidus muscle injury and atrophy after posterior lumbar spine surgery [ J ]. J Bone Joint Surg ( Am), 2013,95 ( 24 ) : e192.
二级引证文献16
-
1赵刚,周英杰,王许可.RTS和SEXTANT经皮微创椎弓根螺钉置入修复不稳定胸腰椎骨折:椎体复位高度比较[J].中国组织工程研究,2016,20(22):3255-3262. 被引量:14
-
2孙忠利.后路小切口微创椎弓根螺钉治疗55例脊柱胸腰段骨折的临床疗效观察[J].航空航天医学杂志,2016,27(6):693-695. 被引量:6
-
3阳立.脊柱创伤相关疾病经PCS椎弓根螺钉治疗的效果评价[J].中国当代医药,2016,23(24):68-70. 被引量:6
-
4王高猛.椎弓根钉棒内固定治疗胸腰段骨折脱位的临床疗效[J].中国医学工程,2016,24(12):110-111. 被引量:1
-
5蒙泰辉,刘战立,刘云,徐小平,许泽川.经皮椎弓根螺钉内固定治疗胸腰椎骨折的临床观察[J].创伤外科杂志,2017,19(3):193-197. 被引量:32
-
6王华国.经伤椎置钉短节段固定治疗胸腰段脊柱骨折疗效分析[J].中国现代医药杂志,2017,19(8):36-38. 被引量:9
-
7董宏朋.伤椎置钉对胸腰椎爆裂性骨折患者骨折愈合及神经功能恢复的影响[J].国际医药卫生导报,2017,23(20):3200-3203. 被引量:2
-
8金德才.微创经皮椎弓根螺钉联合伤椎置钉治疗胸腰段脊椎骨折效果分析[J].中国伤残医学,2017,25(24):30-31. 被引量:8
-
9贾吉光,刘江涛,徐俊昌,庄正陵,邹峰,廖晓龙.后路短节段经皮经伤椎椎弓根螺钉内固定治疗单节段胸腰段骨折[J].骨科,2018,9(4):268-273. 被引量:9
-
10万会清.椎弓根螺钉联合椎板关节突螺钉固定治疗腰椎骨折[J].当代医学,2018,24(21):119-121.
-
1易明杰,陈亮.伤椎椎弓根钉植入复位固定结合椎体成形治疗胸腰椎骨折疗效分析[J].医药论坛杂志,2013,34(6):15-16. 被引量:3
-
2孙波,程维,段显亮.椎弓根钉内固定结合经椎弓根椎体内植骨治疗胸腰椎骨折[J].中国民康医学,2008,20(24):2909-2909. 被引量:1
-
3田长庆,李振宇,顾洪生,周文钰,曾腾辉.胸腰椎后路内固定翻修术的临床研究[J].中国现代手术学杂志,2008,12(6):435-437. 被引量:3
-
4赵龙,宋有鑫,杨佳宁,祝乃强,崔成喜,张宇轩,尚瑞松,张宝琦,龚平,武云鹤,陈宾.Wiltse入路MIS-TLIF治疗腰椎退变疾病早期临床疗效研究[J].实用骨科杂志,2015,21(3):193-197. 被引量:2
-
5谢书源.RF或DF内固定治疗腰椎滑脱症37例报道[J].河南外科学杂志,2009,15(5):92-93.
-
6袁斌.经后路减压复位固定治疗38例中上胸椎骨折的临床疗效分析[J].中国医药科学,2012,2(16):239-239.
-
7谢书源.RF或DF内固定治疗腰椎滑脱症37例报道[J].中国乡村医药,2009,16(S1):31-31.
-
8陈恩祥,于淼.后路减压复位椎体间植骨GSS固定治疗腰椎滑脱症48例疗效观察[J].山东医药,2011,51(33):96-96. 被引量:6
-
9何文全,黄振蓉.经皮撬拨复位外固定治疗SandersⅡ型跟骨骨折[J].中医正骨,2005,17(7):38-38.
-
10李钰.跟骨骨折手术治疗分析[J].中国实用医药,2011,6(6):73-74. 被引量:8