山东医学高等专科学校学报
山東醫學高等專科學校學報
산동의학고등전과학교학보
JOURNAL OF SHANDONG MEDICAL COLLEGE
2009年
4期
249-250
,共2页
骨折%矫形外科%C-D器械%椎体间植骨
骨摺%矯形外科%C-D器械%椎體間植骨
골절%교형외과%C-D기계%추체간식골
Fracture%Orthopedic surgery%C-D apparatus%Lumbar interbody fusion
目的 探讨不稳定性胸腰椎骨折的治疗方法.方法 采用经椎弓根固定器械(C-D器械)固定,加选择性椎间或椎体内植骨的方法治疗不稳定性胸腰椎骨折.结果 术后93例达到解剖复位,3例大部分复位,1例严重压缩性骨折,压缩的椎体虽未复原,但恢复了正常的脊柱力线.不全瘫者20例术后均有不同程度的功能恢复,完全截瘫者12例功能无恢复.40例经1～3年随访,畸形矫正满意,无矫正角度丢失,取钉后腰背僵硬感消失.结论 该术式复位、固定可靠,不需另取髂骨,创伤小,可最大限度保留未损伤运动节段功能.
目的 探討不穩定性胸腰椎骨摺的治療方法.方法 採用經椎弓根固定器械(C-D器械)固定,加選擇性椎間或椎體內植骨的方法治療不穩定性胸腰椎骨摺.結果 術後93例達到解剖複位,3例大部分複位,1例嚴重壓縮性骨摺,壓縮的椎體雖未複原,但恢複瞭正常的脊柱力線.不全癱者20例術後均有不同程度的功能恢複,完全截癱者12例功能無恢複.40例經1～3年隨訪,畸形矯正滿意,無矯正角度丟失,取釘後腰揹僵硬感消失.結論 該術式複位、固定可靠,不需另取髂骨,創傷小,可最大限度保留未損傷運動節段功能.
목적 탐토불은정성흉요추골절적치료방법.방법 채용경추궁근고정기계(C-D기계)고정,가선택성추간혹추체내식골적방법치료불은정성흉요추골절.결과 술후93례체도해부복위,3례대부분복위,1례엄중압축성골절,압축적추체수미복원,단회복료정상적척주력선.불전탄자20례술후균유불동정도적공능회복,완전절탄자12례공능무회복.40례경1～3년수방,기형교정만의,무교정각도주실,취정후요배강경감소실.결론 해술식복위、고정가고,불수령취가골,창상소,가최대한도보류미손상운동절단공능.
Objective To explore the treatment of unstable thoracolumbar fractures.Methods The unstable thoracolumbar fractures were treated with pedicle fixation apparatus as well as lumbar interbody fusion.Results 93 cases got anatomical reduction,3 cases almost got reduction,1 case got spinal alignment despite the serious compression fracture,20 cases got some fuctional recovery of some degree despite incomplete paraplegia and 12 cases of complete paraplegia got no recovery.The 1-3 years of follow-up surveys showed that 40 cases got satisfactory correction of deformity without any loss of perspective correction or any sense of back stiffness after taking out nails.ConclusionThis kind of treatment can get reliable reduction and fixation without using ilia to produce wounds and can preserve the the functions of motion segments that are not injured.
