摘要
目的：探讨三平面同定治疗胸腰椎骨折的临床效果。方法：选择胸腰椎骨折脱位的患者54例，采用三平面同定的手术方法进行治疗，对患者术前术后的X线片进行测量，测量其伤椎高度恢复的比例以及后凸角度的纠正情况。结果：术前骨折的椎体高度（57．5±16．4）％，节段后的凸角度（20．7±9．5）°；术后骨折椎体的高度（93．5±11．6）％，节段后凸的角度（5．8±7．4）°。手术前后骨折椎体的高度和节段后凸的角度筹异均有统计学意义f均P〈0．001）。结论：三平面固定治疗胸腰椎骨折有利于后路术中复位以及纠正后凸畸形，并且增加了内同定系统的强度。
Objective： To investigate the three-plane fixed with TLIF interbody fusion for the treatment of thoracolumbar fracture-dislocation of the clinical effect. Methods： The thoracic and lumbar fracture-dislocation of 54 patients, three-plane fixed with TLIF interbody fusian surgical treatment of patients with preoperative and postoperative x-ray measurements, measure the ratio of vertebral height restoration and postconvex angle to correct the situation. Results：preoperative fracture of the vertebral body height （57.5 ± 16.4）%, after the convex segment angle （20.7 ± 9.5） ° ; after the height of vertebral fractures （93.5 ± 11.6）%, segmental kyphosis angle （ 5.8 ± 7.4） ° . Vertebral fracture before and after surgery, the height and the angle of kyphosis chip segments were statistically significant differences （all P 〈0.001）. Conclusion： Three-plane fixed with TLIF interbody fusion with posterior reduction surgery and help correct the kyphosis, and increased fixation slrength.
关键词
胸腰椎骨折
三平面
椎弓根内固定
效果
thoracic and lumbar fractures
third plane
pedicle screw fixation
effect
