中华解剖与临床杂志
中華解剖與臨床雜誌
중화해부여림상잡지
Chinese Journal of Anatomy and Clinics
2014年
3期
220-223
,共4页
赵祥%何升华%丁浩%方俊%吴小海%张诤%张永
趙祥%何升華%丁浩%方俊%吳小海%張諍%張永
조상%하승화%정호%방준%오소해%장쟁%장영
胸腰椎骨折%经椎弓根%硫酸钙骨替代材料
胸腰椎骨摺%經椎弓根%硫痠鈣骨替代材料
흉요추골절%경추궁근%류산개골체대재료
Thoracolumbar fracture%Transpedicular%Artificial bones
目的 探讨腰椎后入路切开复位椎弓根螺钉固定联合经椎弓根硫酸钙骨替代材料椎体内填充治疗胸腰椎压缩骨折的临床疗效.方法 回顾性分析2010年1月-2011年10月接受后路复位椎弓根钉内固定联合硫酸钙骨替代材料椎体内填充治疗的18例胸腰椎压缩骨折患者的临床资料.比较患者术前、术后影像学改变,以及术前和末次随访时Cobb角、Oswestry功能障碍指数(ODI)变化.结果 18例患者随访14 ～24个月,平均(18±2)个月,无并发症发生,无螺钉断裂、松动.椎体前柱前缘高度术前为(18.69±2.59)mm,术后为(26.43±1.94)mm;中柱前缘高度术前为(21.05±2.85)mm,术后为(26.16±1.25)mm;术前Cobb角16.44°±3.07°,末次随访为2.89°±1.28°;术前ODI为82.38％ ±7.02％,末次随访为17.14％ ±7.53％.各观察项目术前、术后比较,差异均有统计学意义(P值均＜0.01).结论 后路椎弓根钉固定结合硫酸钙骨替代材料填充治疗胸腰椎压缩骨折,可有效恢复椎体高度,避免椎体高度丢失.
目的 探討腰椎後入路切開複位椎弓根螺釘固定聯閤經椎弓根硫痠鈣骨替代材料椎體內填充治療胸腰椎壓縮骨摺的臨床療效.方法 迴顧性分析2010年1月-2011年10月接受後路複位椎弓根釘內固定聯閤硫痠鈣骨替代材料椎體內填充治療的18例胸腰椎壓縮骨摺患者的臨床資料.比較患者術前、術後影像學改變,以及術前和末次隨訪時Cobb角、Oswestry功能障礙指數(ODI)變化.結果 18例患者隨訪14 ～24箇月,平均(18±2)箇月,無併髮癥髮生,無螺釘斷裂、鬆動.椎體前柱前緣高度術前為(18.69±2.59)mm,術後為(26.43±1.94)mm;中柱前緣高度術前為(21.05±2.85)mm,術後為(26.16±1.25)mm;術前Cobb角16.44°±3.07°,末次隨訪為2.89°±1.28°;術前ODI為82.38％ ±7.02％,末次隨訪為17.14％ ±7.53％.各觀察項目術前、術後比較,差異均有統計學意義(P值均＜0.01).結論 後路椎弓根釘固定結閤硫痠鈣骨替代材料填充治療胸腰椎壓縮骨摺,可有效恢複椎體高度,避免椎體高度丟失.
목적 탐토요추후입로절개복위추궁근라정고정연합경추궁근류산개골체대재료추체내전충치료흉요추압축골절적림상료효.방법 회고성분석2010년1월-2011년10월접수후로복위추궁근정내고정연합류산개골체대재료추체내전충치료적18례흉요추압축골절환자적림상자료.비교환자술전、술후영상학개변,이급술전화말차수방시Cobb각、Oswestry공능장애지수(ODI)변화.결과 18례환자수방14 ～24개월,평균(18±2)개월,무병발증발생,무라정단렬、송동.추체전주전연고도술전위(18.69±2.59)mm,술후위(26.43±1.94)mm;중주전연고도술전위(21.05±2.85)mm,술후위(26.16±1.25)mm;술전Cobb각16.44°±3.07°,말차수방위2.89°±1.28°;술전ODI위82.38％ ±7.02％,말차수방위17.14％ ±7.53％.각관찰항목술전、술후비교,차이균유통계학의의(P치균＜0.01).결론 후로추궁근정고정결합류산개골체대재료전충치료흉요추압축골절,가유효회복추체고도,피면추체고도주실.
Objective To study the clinical curative effect of posterior transpedicular instrumentation of artificial bone graft and vertebral pedicle screw in fractured vertebra for the treatment of thoracolumbar fractures.Methods From January 2010 to October 2011,18 cases with thoracolumbar fractures were treated with short segmental transpedicalar fixation combined with transpedicular instrumentation of artificial bone graft and vertebral pedicle screw in fractured vertebra.The changes of the height of anterior border of anterior horn and the height of anterior border of axial column were observed before and after operation respectively.The changes of Cobb angle and Oswestry disability index(ODI) were evaluated before operation and at the final follow-up.Results Eighteen cases were followed up for 14-24months (averaged 18 months).There was no complication.The height of anterior border of anterior horn which was(18.69 ± 2.59) mm before operation reached to (26.43 ± 1.94) mm after operation,and the height of anterior border of axial column was enhanced from (21.05 ± 2.85) mm before operation to (26.16 ± 1.25 mm) after operation.The Cobb angle which was 16.44° ± 3.07 ° before operation reached to 2.89° ± 1.28° at the last follow-up,and the ODI was reduced from 82.38％ ± 7.02％ before operation to 17.14％ ± 7.53％ at last follow-up.There were significantly statistical differences in the observation items between before and after operation(all P values ＜ 0.01).Conclusions In the treatment of thoracolumbar fractures,the method of transpedicular fixation combined with transpedicular artificial bones graft in fractured vertebra can restore the height of fractured vertebra,and reduce internal fixation failure.
