摘要
目的分析后路经皮微创空心椎弓根螺钉内固定系统治疗胸腰椎压缩骨折的临床效果。方法选择2011年1月—2015年1月无明显神经损伤的胸腰椎压缩骨折患者64例,均进行胸腰椎DR片,CT/MRI等临床影像学检测进行病症诊断。在C形臂X线机透视下,采用经皮微创空心椎弓根钉棒内固定技术治疗。空心椎弓根螺钉通过导针置入。椎旁肌下置固定棒,连接杆。专用工具扇形撑开复位后锁紧顶丝。主要观察手术切口长度、手术时间、术中出血量、手术前后伤椎椎弓前缘高度、平均住院时间。结果胸腰背部切口仅有4个2cm左右的小切口,术后第2天即下床活动,平均手术时间60min,术中出血量40ml;骨折椎体复位良好;平均住院天数6d。结论经皮微创空心椎弓根钉棒内固定术在胸腰椎压缩骨折治疗中疗效显著。能大大减少患者创伤;有效缩短卧床时间,提高生活质量。同时减少住院天数和费用。
Objective To analyze the clinical results of the treatment of thoracolumbar compression fracture by means of minimally invasive posterior percutaneous cannulated pedicle screw system. Methods 64 cases with no significant nerve injury thoracolumbar vertebral compression fractures are chosen from January 2011 to January 2015 and each patient underwent thoracic and lumbar DR tablets,CT/MRI and other imaging to detect conduct of clinical disease diagnosis. In the perspective of C- arm X- ray machine,using minimally invasive percutaneous cannulated pedicle screw fixation treatment. Hollow pedicle screw is placed through the guide pin. Fixed rod and connecting rod are placed in the paraspinal muscles. Top wire is locked after the reset of special tools sector distraction. Main observations include incision length,operative time,blood loss,before and after surgery vertebral arch leading edge height and average length of stay. Results There are only four 2cm incision small incision on thoracic back,patients can get out of bed to activate after the first two days,the average operation time are 1h,blood loss 40ml; vertebral good reduction; average hospital stay are 6 days. Conclusion The effect of minimally invasive percutaneous pedicle screw fixation hollow thoracolumbar compression fractures is significant. It can greatly reduce patient trauma; effectively shorten the time in bed and improve the quality of life. Meanwhile,it can also reduce the number of hospital days and costs.
出处
《医药论坛杂志》
2015年第8期52-53,56,共3页
Journal of Medical Forum
关键词
胸腰椎压缩骨折
经皮
空心椎弓根螺钉
内固定
Thoracolumbar compression fracture
Percutaneous
Cannulated pedicle screw
Inner fixed system
