摘要
目的：分析探讨钉棒系统内固定在胸腰椎爆裂性骨折治疗中的临床疗效。方法：收集2007年至2010年以来在我院诊治的胸腰椎爆裂性骨折患者31例,患者均经进行核磁共振显影、术前X线、CT/MR I等临床影像学检测进行病症诊断。在C型臂X线机透视下,采用脊柱后路正中入路椎管探查减压,进行钉棒系统内固定术。术后进行随访,考察椎体高度、Cobb角及脊髓神经功能的恢复程度。结果：术后随访31例患者病,病椎椎体前缘平均高度由术前35.7%恢复到91.2%,呈显著性差异,具有统计学意义（P〈0.05）;病椎椎体后缘平均高度由术前74.3%恢复到97.2%,呈显著性差异（P〈0.05）;治疗前后Cobb平均角度由术前26.3°（19.1°-42.7°）恢复到4.6°（1.7°-7.3°）,呈显著性差异（P〈0.05）。脊髓功能的损伤恢复程度使用Frankel评分法进行评价,仅2例无功能性改善,术后优良率达74.2%,好转率为19.3%。结论：钉棒系统内固定法安全可靠,操作方便,在胸腰椎爆裂性骨折治疗中疗效显著,能有效改善患者术后的生存质量。
Objective：To analyse the nail stick system discussed fixation in thoracolumbar burst fracture in the therapy of clinical curative effect.Methods：We collected in 2007 by 2010 in our hospital since diagnosis of thoracolumbar burst fracture patients（31 cases）,patients were both by nuclear magnetic resonance imaging,preoperative X-ray,CT/MRI etc clinical imaging detection disease diagnosis.In C arm X-ray machine perspective,the posterior midline approaches intradiscal spine,probe decompression nail bar system fixation.Postoperative follow-up investigation corpectomy height,Cobb Angle and spinal neurological recovery degree.Results：The follow-up of 31 patients with vertebral disease vertebral disease,bottom margin of average height by preoperative 35.7% restored to 91.2% ft percentage,show significant difference are statistically significant（P0.05）.Disease vertebral vertebral edge by the average height 74.3% restored to capsaicinoid is 97.2% preoperatively,show significant difference（P0.05）.Cobb average Angle before and after the treatment by preoperative 2.63°（19.1°～42.7°）recovered to 4.6°～170°（7.3°）,show significant difference（P0.05）.Spinal cord injury recovery degree function use Frankel pointrating method to evaluate,only 2 cases of no functional improvement,postoperative recovery rate of 74.2%,19.3%in all the patients.Conclusion：Nail bar system internal fixation method is safe,reliable and convenient operation,in thoracolumbar burst fracture treatment curative effect is distinct,can effectively improve the life quality of patients who underwent the.
出处
《医学信息（中旬刊）》
2011年第4期1331-1332,共2页
Medical Information Operations Sciences Fascicule
关键词
钉棒系统内固定
胸腰椎爆裂性骨折
Nail bar system internal fixation
Thoracolumbar burst fracture
