摘要
目的探讨选择性增加经伤椎椎弓根置钉短节段钉棒内固定治疗胸腰段椎体骨折的临床效果。方法选择22例胸腰段椎体骨折,采用增加经伤椎椎弓根置钉短节段钉棒内固定,观察患者术前、术后伤椎前缘高度、脊柱Cobb角、神经恢复情况。结果术后伤椎前缘高度、脊柱Cobb角较术前明显恢复(P<0.01),无断钉、断棒。结论选择性增加经伤椎椎弓根置钉短节段钉棒内固定治疗胸腰椎严重骨折,术中伤椎复位满意、术后固定牢固、脊柱稳定性好,有利于伤椎骨折愈合和患者早期功能锻炼与康复。
Objective To investigate the clinical efficacy of the short segment fixation of screw and rod fixation by adding the screws fixed on injury cemtrum in the treatment of thora- eolumbar vertebral fracture. Methods 22 cases of patients were operated with the short seg- ment fixation of screw and rod fixation by adding the screws fixed on injury centrum. Changes of the vertebral anterior height,the spine Cobb＇s ~angle,neurological function between preoperation and postoperation were compared. Results The postoperative results of the vertebral anterior height,the spine Cobb＇s angle,neurological function were better than that of preoperation （P〈0.01）. Conclusion The clinical efficacy of the short segment fixation of screw and rod fixation by adding the screws fixed on injury eentrum in the treatment of thoraeolumbar vertebral fracture was satisfactory. This method provided both satisfactory restoration of injury centrum and good postop- erative fixation stability of the spine. It is good for the fracture healing of injury centrum and the patient＇s early functional training and rehabilitation.
出处
《颈腰痛杂志》
2012年第4期295-297,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
胸腰椎体骨折
骨折内固定
椎弓根螺钉
thoracolumbar vertebral fracture
fracture internal fixation
pedicle screw
