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后路椎弓根螺钉内固定治疗腰椎爆裂骨折 被引量:9

后路椎弓根螺钉内固定治疗腰椎爆裂骨折
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摘要 目的 分析后路椎弓根螺钉内固定治疗腰椎爆裂骨折的方法与效果。方法 对2008年6月~2011年12月收治的30例患者进行分组,对照组采用一般内固定术式对腰椎爆裂骨折进行治疗,观察组采用后路椎弓根螺钉内固定方法进行治疗,比较两组患者术后椎体高度、Cobb角(后凸畸形)和神经功能(Frankel分级)恢复情况。结果 所有患者经过1年随访,死亡率为零,内固定失败为零,两组比较没有明显差异(P>0.05);观察组并发症、神经功能恢复情况良好,与对照组相比,差异明显(P<0.05)。结论 后路椎弓根螺钉内固定治疗腰椎爆裂骨折情况良好,且矫正后矫形良好,可以促进神经功能恢复,并发症发生率低。 Objective To analyze and posterior pedicle screws internal fixation for lumbar burst fracture method and effect experience. Methods clinical data of from June 2008 to December 30 patients were group and control group in the general internal fixation for lumbar burst surgical treatment, the observation group posterior pedicle screws with internal fixation method for treatment, and for two sets of patients of the vertebral body height, Cobb Angle (later protrusion deformity) and nerve function (Frankel hierarchical) recovery are compared. Results All patients over 1 years of follow-up, the mortality rate is zero, internal fixation for zero failure, two groups in this did not differ, P 〉 0.05; The observation group complications, neurological recovery in good condition, and the control group than, the differences are significant, P 〈 0.05; Conclusion Posterior pedicle screws internal fixation for lumbar burst fracture in good condition, and to correct the orthopaedic recover fracture as very good, and the acceptable can promote neural function recovery, and complications rate is low.
作者 马晓春
出处 《当代医学》 2012年第15期100-101,共2页 Contemporary Medicine
关键词 腰椎爆裂骨折 骨折固定术 脊髓损伤 康复 Lumbar burst fracture Fracture fixation Spinal cord injury Rehabilitation
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