摘要
目的：评价后正中小切口非融合技术治疗胸腰段脊柱骨折的短期临床疗效。方法采用后正中小切口非融合技术治疗17例胸腰段骨折患者，10～12个月后取出内固定。结果手术时间48～72（52.2±15.6） min；术中出血量60～100（80±10.5）ml。患者均获随访，时间19～54（36.4±7.2）个月。患者伤口均一期愈合；无内固定松动断裂，无假关节形成。伤椎 Cobb 角由术前20°～45°（25.6°±5.2°）校正至5.2°～14.2°（10.2°±3.1°）；末次随访时脊柱JOA评分为23～28（25±4.2）分；伤椎活动度3°～10°（5°±2.2°）；无相邻椎间盘退行性变。结论后正中小切口非融合技术治疗胸腰段脊柱骨折创伤小，手术时间短，保留脊柱运动单元，近期效果良好。
Objective To evaluate the early clinical efficacy of posterior median small incision non-fusion technique for thoracolumbar fractures.Methods Seventeen patients with thoracolumbar fractures were treated with posterior median small incision non-fusion technique.After 10~12 months,the internal fixation instrument was removed.Re-sults All incisions were primary healing.The operation time was 48~72 （52.2 ±15.6）min.The blood loss was 60~100 （80 ±10.5）ml.All cases were followed up for 19~54（36.4 ±7.2）months.No internal fixation failure or pseuderthrosis was observed.The preoperative Cobb angle of the injured vertebra was restored from 20°~45° （25.6°±5.2°）to 5.2°~14.2°（10.2°±3.1°）postoperatively.23 ~28 （25 ±4.2）scores was gotten at the last follow-up according to JOA.The movement of the injured vertebra was 3°~10°（5°±2.2°）.There was no adjacent disc degeneration.Conclusions Posterior median small incision non-fusion technique is an effective alternative for thoracolumbar fractures with good early clinical efficacy.It has little trauma and less opertive time.
出处
《临床骨科杂志》
2014年第2期144-145,148,共3页
Journal of Clinical Orthopaedics
关键词
胸腰段骨折
椎旁肌间隙入路
非融合技术
骨折固定术
内
thoracolumbar fractures
paraspinal muscle gap approach
non-fusion technologies
fracture fixation,in-ternal
