摘要
作者对脊柱骨折伴截瘫行Dick手术28例,Steffee手术16例,Dick+Steffee联合手术1例,共45例。术前A级24例,B级4例,C级11例,D级4例,E级2例。术后A级18例,B级3例,C级7例,D级10例,E级7例。术前平均后凸角24.5°,侧凸角9.5°。术后分别平均为3.5°和0°。术前伤椎前缘高度为正常的65％;术后为91％。作者强调早期手术。神经原发损伤越轻,术后致残程度和致残率越低。
Forty-five patients with spinal fractures were treated with pedicle screw instrumentat (Dick,28 cases;Steffee,16 cases;Dick+Steffee,1 case).Preoperative Frankel grades were A,24; B,4;C,11;D,4;and E,2.Postoperative ones were A,18;B,3;C,7;D,10;and E,7.The average angles of kyphosis and seoliosis were reduced fron 24.5°and 9.5°to 3.5°and 0°.The vertebral body height was 65％ of normal before surgery,and 91％ of normal after surgery.In our series, there were no infections and errors of screw localiyation and placement,The authors stressed surgery as soon as possible.Lighter the primary neurologic injures,lower the degree and rate of disability,The relativity among trauma,fracture,meural fefieits,Surgery,disability and rehabilita- tion were discussed.
出处
《伤残医学杂志》
1994年第1期24-26,共3页
Medical Journal of Trauma and Disability
关键词
经椎弓根内固定手术
治疗
脊柱骨折
截瘫
Pediele of vertebral arch
Internal fixation
Spinal fracture
Paraplegia
Disability
