中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2010年
9期
822-825
,共4页
脊柱骨折%胸椎%腰椎%支柱块
脊柱骨摺%胸椎%腰椎%支柱塊
척주골절%흉추%요추%지주괴
Spinal fractures%Thoracic vertebrae%Lumbar vertebrae%Vertebral pillar
目的 研究经椎弓根置入椎体支柱块并植骨治疗胸腰椎骨折的方法和疗效. 方法收集2008年3月-2009年7月采用经椎弓根椎体支柱块并植骨治疗胸腰椎骨折患者共23例(25个椎体,共用47枚椎体支柱块),T11骨折2例,T12骨折9例,L1骨折7例,L2骨折5例,其中4例采用椎板间开窗减压椎弓根固定联合椎体支柱块治疗.观察手术操作过程、手术用时、术中出血量、术后及随访期间摄X线片,测定伤椎前缘高度与正常高度的比值、Cobb角的矫正程度及术后早期恢复情况. 结果 23例患者均获7～16个月[(12.5±0.4)个月]随访,术后椎体高度丢失少,术后伤椎前缘压缩率及Cobb角均较术前明显改善(P＜0.05). 结论椎体支柱块治疗胸腰椎骨折可有效恢复椎体力学性能,减少椎体高度再丢失、后凸畸形重现等并发症,具有手术时间短、出血少、恢复快、更符合生物学固定等优点,是治疗胸腰椎骨折较理想的方法.
目的 研究經椎弓根置入椎體支柱塊併植骨治療胸腰椎骨摺的方法和療效. 方法收集2008年3月-2009年7月採用經椎弓根椎體支柱塊併植骨治療胸腰椎骨摺患者共23例(25箇椎體,共用47枚椎體支柱塊),T11骨摺2例,T12骨摺9例,L1骨摺7例,L2骨摺5例,其中4例採用椎闆間開窗減壓椎弓根固定聯閤椎體支柱塊治療.觀察手術操作過程、手術用時、術中齣血量、術後及隨訪期間攝X線片,測定傷椎前緣高度與正常高度的比值、Cobb角的矯正程度及術後早期恢複情況. 結果 23例患者均穫7～16箇月[(12.5±0.4)箇月]隨訪,術後椎體高度丟失少,術後傷椎前緣壓縮率及Cobb角均較術前明顯改善(P＜0.05). 結論椎體支柱塊治療胸腰椎骨摺可有效恢複椎體力學性能,減少椎體高度再丟失、後凸畸形重現等併髮癥,具有手術時間短、齣血少、恢複快、更符閤生物學固定等優點,是治療胸腰椎骨摺較理想的方法.
목적 연구경추궁근치입추체지주괴병식골치료흉요추골절적방법화료효. 방법수집2008년3월-2009년7월채용경추궁근추체지주괴병식골치료흉요추골절환자공23례(25개추체,공용47매추체지주괴),T11골절2례,T12골절9례,L1골절7례,L2골절5례,기중4례채용추판간개창감압추궁근고정연합추체지주괴치료.관찰수술조작과정、수술용시、술중출혈량、술후급수방기간섭X선편,측정상추전연고도여정상고도적비치、Cobb각적교정정도급술후조기회복정황. 결과 23례환자균획7～16개월[(12.5±0.4)개월]수방,술후추체고도주실소,술후상추전연압축솔급Cobb각균교술전명현개선(P＜0.05). 결론추체지주괴치료흉요추골절가유효회복추체역학성능,감소추체고도재주실、후철기형중현등병발증,구유수술시간단、출혈소、회복쾌、경부합생물학고정등우점,시치료흉요추골절교이상적방법.
Objective To study the therapeutic effect of vertebral pillar block insertion through vertebral pedicle in treatment of thoracolumbar vertebral fractures. Methods The study involved 23patients (25 vertebrae and 47 vertebral pillar blocks) with thoracolumbar vertebral fractures treated with vertebral pillar block insertion through vertebral pedicle in our hospital from March 2008 to July 2009.There were two patients with T11 fractures, nine with T12 fractures, seven with L1 fractures and five with L2 fractures (four patients were treated with decompression by fenestration between vertebral plates and vertebral pedicle fixation with vertebral pillar block). Surgical operation, operation duration, blood loss during operation, postoperative and follow-up X-ray films were observed, and the ratio of anterior vertebral height and normal height, degree of Cobb angle correction and early postoperative recovery were determined. Results Twenty-three patients were followed up for 7-16 months (mean 12.5 months),which showed little postoperative vertebral height loss and significantly improved postoperative anterior vertebral compression rate and the Cobb angle (P ＜ 0. 05). Conclusions Vertebral pillar block can effectively restore the mechanical properties of vertebral bodies, reduce further loss of vertebral height,kyphosis reproduction and other complications and take advantages of shorter operative time, less bleeding, faster recovery and better adaptation to the biological fixation in treatment of thoracolumbar vertebral fractures.
