CAJ | 학술논문

目的临床分析后路椎体次全切除钛网重建椎体治疗胸腰椎爆裂骨折的效果.方法选取我院30例胸腰椎爆裂骨折患者,实施后路椎体次全切除钛网重建椎体治疗.结果所有患者均顺利完成手术,手术的平均时间2.8h,平均出血量1210ml,术后经过14月随访,2例出现脑脊液漏.患者经过植骨,未出现内固定松动,均融合,未发生断裂情况.伤椎角纠正至16~27度,平均角度为22.3度,椎管容积未出现明显丢失.神经功能均出现不同程度恢复.结论针对胸腰椎爆裂骨折患者,实施后路椎体次全切除钛网重建椎体治疗,具有安全性高、脊椎稳定、创伤小等优点,可有效提高临床疗效,值得临床推广应用.
목적림상분석후로추체차전절제태망중건추체치료흉요추폭렬골절적효과.방법선취아원30례흉요추폭렬골절환자,실시후로추체차전절제태망중건추체치료.결과소유환자균순리완성수술,수술적평균시간2.8h,평균출혈량1210ml,술후경과14월수방,2례출현뇌척액루.환자경과식골,미출현내고정송동,균융합,미발생단렬정황.상추각규정지16~27도,평균각도위22.3도,추관용적미출현명현주실.신경공능균출현불동정도회복.결론침대흉요추폭렬골절환자,실시후로추체차전절제태망중건추체치료,구유안전성고、척추은정、창상소등우점,가유효제고림상료효,치득림상추엄응용.
objective clinical analysis of posterior vertebral subtotal corpectomy and titanium mesh reconstruction for the treatment of thoracolumbar burst fractures. Methods 30 cases of thoracolumbar burst fracture patients, the implementation of posterior vertebral subtotal corpectomy and titanium mesh reconstruction therapy. Results all patients were successfully completed operation, operation and the average time of 2.8h, without the occurrence of fracture. Vertebral angle is corrected to 16~27 degrees, the average angle of 22.3 degrees, the volume of vertebral canal did not appear obvious loss. There are different degrees of recovery of nerve function. Conclusion thoracolumbar burst fracture patients, the implementation of posterior vertebral subtotal corpectomy and titanium mesh reconstruction treatment, has high safety, spine stability, small trauma and other advantages, can effectively improve the clinical efficacy, it is worthy of clinical application.