摘要
目的:介绍一种前路手术治疗胸腰椎压缩骨折失稳的新方法。方法:利用作者自行设计的撑压系统,用撑开棍加钉座来撑开上下椎体前缘已钉好的螺钉,使椎间隙的前缘张开,镶入自体髂骨立柱,然后将椎体后缘的压缩装置拧紧加压,使其撑压作用互相拮抗来维持脊柱的稳定,并将立柱植骨牢牢固定在上下椎体之间,起支撑作用。结果:经用此方法固定的50例患者随访1～11年植骨愈合良好,被压缩的椎体90％均得到恢复,屈曲后凸畸形也得到满意的矫正。结论:该方法用于胸腰椎屈曲压缩型骨折,手术方法简单、操作技术方便,比Kaneda手术容易掌握,缩小了手术切口、节省了手术时间,达到稳定脊柱和矫正后凸畸形的目的。
Objective: To introduce a new method of anterior operation to treat the unstable thoracolumbar compression fracture. Methods: Used the self-designed distraction-compression system to distracted the screw of high and low anterior edge of vertebral body,spread out the anterior edge of vertebral space,and inlay the vertical pillar of self-ilium then increased compression and took compress device of body posterior-edge, compression and distraction were resisted each other to maintaine the spinal stability,and firm fixated the hone graft of vertical pillar between the high and low vertebral bodies. This bone graft played a stability role. Results:Fifty patients of this group were followed-up from 1 to 11 years,all cases achieved a solid union of bone graft, 90 % compressed vertebral body were recovered, and kyphosis deformaty achieved a satisfactory correction as well. Conclusion: Author thought that the way can be used in the treatment of flexion compression fracture, the operative method is simple, the procedural technique is convenient, the operation is easy to be held on than Caneda device, it can decrease the length of incision and shorten the operative time and achieve a spinal stability and kyphosis deformation is corrected.
出处
《中国矫形外科杂志》
CAS
CSCD
2003年第18期1231-1234,共4页
Orthopedic Journal of China
关键词
撑压系统
立柱植骨
胸腰椎骨折
失稳
Distraction-Compression System
Vertical pillar bone graft
Thoracolumbar fracture
Unstable
