[1]周成洪,龙亨国,沈万洋,等.经后路Ⅰ期椎间颗粒骨打压植骨融合治疗胸腰椎爆裂骨折伴脱位临床疗效分析[J].中医正骨,2012,24(08):18-20.
　ZHOU Cheng-hong*,LONG Heng-guo,SHEN Wan-xiang,et al.Ⅰ stage granules of posterior interbody fusion with bone grafting of thoracolumbar burst fracture with dislocation of the Clinical Analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(08):18-20.
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经后路Ⅰ期椎间颗粒骨打压植骨融合治疗胸腰椎爆裂骨折 伴脱位临床疗效分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年08期
页码:
18-20
栏目:
临床研究
出版日期:
2012-08-20

文章信息/Info

Title:
Ⅰ stage granules of posterior interbody fusion with bone grafting of thoracolumbar burst fracture with dislocation of the Clinical Analysis
作者:
周成洪; 龙亨国; 沈万洋; 洪文跃; 刘玖行; 肖曦; 詹旭
浙江省舟山市中医骨伤联合医院,浙江 舟山 316000
Author(s):
ZHOU Cheng-hong*; LONG Heng-guo; SHEN Wan-xiang; HONG Wen-yue; LIU Jiu-xing; XIAO Xi; ZHAN Xu.
*Zhoushan TCM and Orhtopedic Union Hospital,Zhoushan 316000,Zhejiang,China.
关键词:
脊柱骨折脱位 胸椎腰椎 植骨 融合
Keywords:
Fracture-dislocation;  Thoracolumbar;  Bone graft;  Fusion
摘要:
目的:观察经后路Ⅰ期椎间颗粒骨打压植骨融合术治疗胸腰椎爆裂骨折伴脱位临床疗效。方法:对采用后路减压国产通用型脊柱固定系统(GSS)椎弓根螺钉固定联合椎间植骨融合手术治疗的12例胸腰椎爆裂骨折脱位患者进行了随访,比较术前、术后相邻椎体上下终板成角(Cobb角)、椎体前缘高度与正常高度的比值、椎管骨性占位率等指标,了解术后骨折复位情况及随访期间内固定有无失败和复位丢失情况。结果:通过手术减压复位,Cobb角、椎体前缘高度与正常高度的比值、椎管骨性占位率均明显改善。术后随访测量与术后相比无明显变化,无1例内固定失败。结论:后路椎弓根螺钉联合椎间植骨治疗胸腰椎爆裂骨折伴脱位可以有效防止内固定失败、复位丢失和后凸畸形,是治疗胸腰椎骨折伴脱位较理想方法。
Abstract:
Objective:To investigate of the clinical efficacy Ⅰ stage posterior particle bone grafting of the intervertebral fusion in treatment of thoracolumbar burst fracture with dislocation.Methods:The study involved 12 patients with thoracolumbar burst fractures with dislocation treated with posterior pedicle screw instrumentation plus interspinal bone grafting.The Cobb angle,the ratio of anterior body height to the normal height and spinal canal blockage before and after surgery were compared for observation on postoperative fracture healing as well as internal fixation failure or reduction loss during follow-up.Results:The operative decompression and reduction exerted significantly positive effect on the Cobb angle,the ratio of anterior body height to the normal height and spinal canal blockage.The follow-up showed no significant correction loss or fixation failure.Conclusion:Posterior pedicle screw plus interspinal bone grafting is an ideal method for treatment of thoracolumbar burst fractures with dislocation,it can prevent failure,reduction loss and kyphotic deformity.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:龙亨国 E-mail:63109855@qq.com
更新日期/Last Update: 2012-08-20