摘要
目的 :探讨后路椎弓根螺钉内固定治疗胸腰椎骨折的临床效果。方法 :应用经椎弓根螺钉内固定系统治疗胸腰椎骨折脱位 5 6例 ,其中Steffee 8例 ,RF 11例 ,AF 2 1例 ,Tenor 12例 ,USS 4例 ,分别对其进行后路减压、植骨融合 ,比较其神经功能恢复及骨折愈合情况。结果 :4 2例获得随访 ,时间 5～ 2 4个月 ,神经功能按Frankel法除 5例A级无恢复外 ,其他级别有 1～ 3级的恢复。 5例骨折复位不满意或固定失败 ,其余骨折均顺利愈合。结论 :椎弓根螺钉能提供短节段脊柱内固定 ,重建脊柱稳定性 ,脊柱融合率高 。
Objective:To study and evaluate the clinical results of pedicle screw fixation in the treatment of thoracolumbar fracture.Methods:fifty-six cases of thoracolumbar fracture were treated with posterior decompression bone grafting and pedicle screw fixation(Steffee 8 cases,RF 11 cases,AF 21 cases,Tenor 12 cases,USS 4 cases),observed the nerver function recovery and fracture union.Results:forty-two cases were followed-up for 5～24 months,1～3 degree recovery of nerver function were achieved in all except 5 cases with Frankel A damaged.Complete fusion of bone graft were observed in thirty-seven cases,the other 5 cases failed with unsatisfactory reduction of fixation problems.Conclusion:Pedicle screws provide firm internal fixation of short segments with satisfactory clinical results and relatively high fusion rate.
出处
《实用骨科杂志》
2003年第6期494-496,共3页
Journal of Practical Orthopaedics
