中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
9期
1181-1182
,共2页
金浩%丁星刚%把其兵%孙业恒
金浩%丁星剛%把其兵%孫業恆
금호%정성강%파기병%손업항
脊柱骨折%骨折固定术%内
脊柱骨摺%骨摺固定術%內
척주골절%골절고정술%내
Spinal fractures%Fracture fixation,internal
目的 探讨胸腰椎骨折后路通用型脊柱内固定系统(GSS)短节段内固定的疗效.方法 回顾性分析采用GSS短节段固定技术治疗胸腰椎骨折47例,测量术前、术后的Cobb角度、椎体前后缘高度比及神经功能恢复情况.结果 所有病例均获得随访,47例胸腰椎爆裂骨折X线片可见椎体后凸畸形矫正满意,椎体高度恢复良好.2例术后出现小于5%的矫正角度丢失,Frankel功能分级B~D级均有明显改善(至少改善1级),A级1例改善到B级,无其他严重并发症.结论 后路GSS短节段固定技术治疗胸腰椎骨折安全、有效,能够恢复伤椎高度和生理曲度,有助于神经功能恢复.
目的 探討胸腰椎骨摺後路通用型脊柱內固定繫統(GSS)短節段內固定的療效.方法 迴顧性分析採用GSS短節段固定技術治療胸腰椎骨摺47例,測量術前、術後的Cobb角度、椎體前後緣高度比及神經功能恢複情況.結果 所有病例均穫得隨訪,47例胸腰椎爆裂骨摺X線片可見椎體後凸畸形矯正滿意,椎體高度恢複良好.2例術後齣現小于5%的矯正角度丟失,Frankel功能分級B~D級均有明顯改善(至少改善1級),A級1例改善到B級,無其他嚴重併髮癥.結論 後路GSS短節段固定技術治療胸腰椎骨摺安全、有效,能夠恢複傷椎高度和生理麯度,有助于神經功能恢複.
목적 탐토흉요추골절후로통용형척주내고정계통(GSS)단절단내고정적료효.방법 회고성분석채용GSS단절단고정기술치료흉요추골절47례,측량술전、술후적Cobb각도、추체전후연고도비급신경공능회복정황.결과 소유병례균획득수방,47례흉요추폭렬골절X선편가견추체후철기형교정만의,추체고도회복량호.2례술후출현소우5%적교정각도주실,Frankel공능분급B~D급균유명현개선(지소개선1급),A급1례개선도B급,무기타엄중병발증.결론 후로GSS단절단고정기술치료흉요추골절안전、유효,능구회복상추고도화생리곡도,유조우신경공능회복.
Objective To investigate the clinical therapeutic effect of general spine system(GSS) short-seg-ment posterior fixation for the thoracolumbar spine fracture.Methods Totally 47 patients with thorocalumbar fracture were retrospectively analyzed from May 2006 to July 2009,which were operated by general spine system short-segment posterior fixation,preoperative and postoperative Cobb angle,front and rear margin height ratio of vertebral body and the recovery of neural function were measured respectively.Results All patients were followed up,in 47 patients with thoracolumbar burst fracture,kyphosis deformity were corrected satisfactorily in X-ray visibly,vertebral body height got good recovery.2 cases occurred loss of corrective angle less than 5% after operation,in Frankel function classification.B~D classes showed significant improvement( at least one grade),A grade improved to B in 1 case,no serious complications occurred.Conclusion GSS short-segment posterior fixation was a safe and effective treatment method for thoracolumbar fracture.It can restore height and physiological curve of injuried vertebral body,contribute to recovery on neural function.