摘要
目的介绍一种治疗胸腰椎爆裂骨折的方法,并评价其治疗效果.方法2000年9月～2003年9月应用结合自体松质骨的异体骨管前路植骨内固定治疗28例胸腰椎爆裂骨折并瘫痪,均获得随访,随访时间5～22个月,平均15个月,按ASIA分级观察术前、术后神经损伤及X线检查判定融合效果.结果所有患者术后伤口均一期愈合.ASIA分级:术前A级4例,B级6例,C级10例,D级8例;术后A级1例,B级2例,C级6例,D级8例,E级11例.X线检查证实术后病变椎间隙高度得到恢复,骨管无移位、脱落、塌陷,均获得骨性融合.结论前路异体骨管植骨内固定治疗胸腰椎爆裂并瘫痪疗效可靠,该手术方法简单、安全,节省手术时间,椎间植骨骨性融合好.
Objective To report a treatment method for the thoraeolumbar burst fracture and evaluate its clinical effect. Methods From September 2000 to September 2003, allograft bone pipes were implanted in 28 patients who were diagnosed thoracolumbar burst fracture and were performed the operation of anterior thoracolumbar decompression and internal fixation. All cases were followed up after the operation for 5 to 22 months, anaverage of 15 months. The clinical effect was evaluated according to the ASIA impairment scale and the radiographs. Results The incisions were all healed by first intention. The preoperative ASIA impairment scale was 4 A, 6 B, 10 C and 8D. The postoperative scale was 1 A, 2 B, 6 C, 8 D and liE. The X - ray films showed that the height of the intervertebral space had been restored and no pipe displacement, collapse or subsidence was found. All patients obtained very good osseous fusion in the intervertebral space. Conclusion In comparison with the conventional methods, the implantation of allograft bone pipe is a simple and safe procedure with less operative injury and short operation time. Moreover, the effect of osseous fusion is very good.
出处
《中国骨与关节损伤杂志》
2005年第7期446-448,共3页
Chinese Journal of Bone and Joint Injury
