摘要
目的探究难复性胸腰椎骨折患者行后入路经椎弓根撬拨复位椎弓根螺钉固定术的术中复位程度及术后恢复状况。方法选取2017年6月至2020年6月本院收治的8例难复性胸腰椎骨折患者,均行后入路经椎弓根撬拨复位椎弓根螺钉固定术,患者全麻后行后路经椎弓根撬拨复位,比较分析体位结合器械复位术后片、经椎弓根撬拨复位术后片及入院诊断时的术前片病椎椎前高度变化,评价后路经椎弓根撬拨复位治疗难复性胸腰椎骨折的效果。结果体位、器械复位后压缩比例及撬拨复位后压缩比例比较差异有统计学意义(P<0.05)。结论后路经椎弓根撬拨复位可明显提高术中复位效果,结合经椎弓根椎体植骨,可有效治疗难复性胸腰椎骨折。
Objective To explore patients with refractory thoracolumbar fractures were treated with posterior transpedicular prying reduction and pedicle screw fixation,and the degree of reduction during operation and recovery after operation.Methods 8 patients with refractory thoracolumbar fractures from June 2017 to June 2020 underwent posterior transpedicle prying reduction and pedicle screw fixation.After general anesthesia,the patients were treated with posterior transpedicular prying reduction.The changes of prevertebral height of the patients were compared among the postural combined device reduction,transpedicular prying reduction and preoperative diagnosis.Results There was statistically significant difference in body position,compression ratio after device reset,and compression ratio after prying reset(P<0.05).Conclusion Posterior transpedicular prying reduction can significantly improve the reduction effect during operation.Combined with transpedicular vertebral body bone grafting,it can effectively treat refractory thoracolumbar fracture.
作者
贾生理
杨海霞
安相英
舍炜
张辉
JIA Shengli;YANG Haixia;AN Xiangying;SHE Wei;Zhang Hui(The First People's Hospital of Zhenyuan,Qingyang,Gansu,744500,China;Gansu Provincial People's Hospital,Lanzhou,Gansu,730000,China)
出处
《当代医学》
2021年第21期111-113,共3页
Contemporary Medicine
关键词
难复性胸腰椎骨折
经椎弓根撬拨复位
治疗
Intractable thoracolumbar fractures
Transpedicle prying reduction
Treatment
