摘要
选择2002-08/2006-07湘潭市第一人民医院采用后路短节段椎弓根内固定材料置入并伤椎椎弓根充填自体糊状髂骨治疗胸腰椎爆裂性骨折35例。①置入材料:RF-Ⅲ脊柱内固定器,TENOR脊柱内固定系统,AF脊柱内固定系统。②术者资质:施术者为本科从事脊柱外科专业工作的主任医师或副主任医师,术者资格符合岗位技术标准要求。③置入后材料与宿主的生物相容性随访:平均随访14.8个月,未发生内置物断裂和螺钉松动现象,也无明显矫正度丢失现象;无炎症及排异现象发生。④骨折愈合情况:骨折均达到满意复位并愈合,伤椎高度均得到明显恢复。⑤神经功能恢复情况:神经功能不全损伤患者均有不同程度功能恢复。⑥结果提示:该内固定材料置入后与宿主的生物相容性较好,可以重建椎体高度,增加脊柱前柱的抗压稳定性,可有效地防止内固定失败和矫正度丢失。
Thirty-five patients with thoracolumbar blowout fractures were treated with posterior short-segmental pedicle instrumentation combined with transpedicular autogenous bone grafting in Xiangtan First People＇s Hospital from August 2002 to July 2006. （1）The implant materials included RF-Ⅲ spinal internal fixation device, TENOR internal fixation system and AF spinal fixation system. （2）The surgery was performed by chief physician or associate chief physician engaging in spinal surgery. （3）The patients were follow up for 14.8 months averagely. There was no implant breakage or screw loosening, or obvious significant loss of correction. No inflammation or rejection was found. （4）All patients healed solidly. The height of the injured vertebral body was significant recovered. （5）The nerve function of patients showed improvement. （6）The results of the study suggest that short-segmental pedicle instrumentation combined with transpedicular autogenous bone grafting in the treatment of thoracolumbar blowout fracture can reconstruct the height of injured vertebral body and stability of anterior column, and effectively prevent the instrumentation failure and loss of correction. The internal fixation material is biocompatible with the
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2008年第13期2497-2500,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
