摘要
目的探讨经前路减压植骨内固定治疗胸腰段爆裂骨折的适应证和疗效。方法采用前路减压、髂骨块或钛网植骨内固定治疗Den is分类累及前、中柱的胸腰段爆裂骨折伴不全瘫患者42例。结果所有患者均顺利完成手术,后凸角术前(19.2±6.2)度,术后(4.2±2.3)度;椎体前缘高度术前(43.2±1.8)mm,术后(69.3±1.9)mm;术后随访6-12个月,内固定无失败,矫正度无明显丢失,均获得良好植骨融合,神经功能有1级以上的改善。结论前路手术治疗胸腰段骨折,按Den is分类,骨折只累及前、中柱而后柱完整的不完全瘫患者减压彻底,固定可靠,融合效果好,矫正后凸畸形满意。
Objective To evaluate the therapeutic effects of Anterior - only decompression and stabilization for thoraeolumbar fracture. Methods From 2002 - 2009, 42 patients （ 36 males and 6 females, average 38.6 years old） with thoracolumbar fracture were treated by Anterior - only decompression and stabilization, lilac bone graft or titanium mesh fixation Denis classification involving the anterior, middle column thoracolumbar burst fracture with incomplete paraplegia. Results All patients were successfully operated, Cobb＇s angle was 19.2 ± 6.2 degrees before and after 4.2 ±2.3 degrees Anterior vertebral height was 43.2 ±1.8mm before and after 69.3 ±1. 9ram. After 6 - 12 months follow - up, no fixation failure, no significant loss of correction, both for good fusion. Last follow up of patients in this group have a more neurological improvement. Conclusion According to Denis classification, fractures involved only the anterior and middle column in patients with incomplete paralysis, anterior treatment is an effective, safety and reliable fixation.
出处
《宁夏医学杂志》
CAS
2010年第9期788-789,共2页
Ningxia Medical Journal
关键词
前路减压植骨
内固定术
胸腰段骨折
Anterior decompression
stabilization
Thoracolumbarfracture
