河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
9期
1499-1502
,共4页
植骨融合%椎弓根钉内固定%椎间盘损伤%骨折脱位
植骨融閤%椎弓根釘內固定%椎間盤損傷%骨摺脫位
식골융합%추궁근정내고정%추간반손상%골절탈위
Bone fusion%Pedicle screw fixation%Intervertebral disc injury%Fracture and dislo-cation
目的:探讨后路椎间植骨融合联合椎弓根内固定对椎间盘损伤的胸腰椎骨折脱位患者的临床疗效。方法:选择2006年1月至2013年3月我院收治的椎间盘损伤的胸腰椎骨折脱位患者31例,采用后路椎间植骨融合联合椎弓根钉内固定治疗,评估患者手术资料、视觉模拟评分、美国脊髓损伤协会神经功能评分以及影像学评估结果。结果:患者术前、术后7d以及末次随访伤椎高度存在统计学显著性差异( P<0.05);至随访结束,31例患者伤口均为I期愈合,患者椎间融合器均未出现明显的位移以及沉陷,均无假关节形成,患者内固定均未出现断裂、松动或者脱落等并发症。结论:后路椎间植骨融合联合椎弓根内固定治疗椎间盘损伤的胸腰椎骨折脱位患者疗效显著,且其并发症较少。
目的:探討後路椎間植骨融閤聯閤椎弓根內固定對椎間盤損傷的胸腰椎骨摺脫位患者的臨床療效。方法:選擇2006年1月至2013年3月我院收治的椎間盤損傷的胸腰椎骨摺脫位患者31例,採用後路椎間植骨融閤聯閤椎弓根釘內固定治療,評估患者手術資料、視覺模擬評分、美國脊髓損傷協會神經功能評分以及影像學評估結果。結果:患者術前、術後7d以及末次隨訪傷椎高度存在統計學顯著性差異( P<0.05);至隨訪結束,31例患者傷口均為I期愈閤,患者椎間融閤器均未齣現明顯的位移以及沉陷,均無假關節形成,患者內固定均未齣現斷裂、鬆動或者脫落等併髮癥。結論:後路椎間植骨融閤聯閤椎弓根內固定治療椎間盤損傷的胸腰椎骨摺脫位患者療效顯著,且其併髮癥較少。
목적:탐토후로추간식골융합연합추궁근내고정대추간반손상적흉요추골절탈위환자적림상료효。방법:선택2006년1월지2013년3월아원수치적추간반손상적흉요추골절탈위환자31례,채용후로추간식골융합연합추궁근정내고정치료,평고환자수술자료、시각모의평분、미국척수손상협회신경공능평분이급영상학평고결과。결과:환자술전、술후7d이급말차수방상추고도존재통계학현저성차이( P<0.05);지수방결속,31례환자상구균위I기유합,환자추간융합기균미출현명현적위이이급침함,균무가관절형성,환자내고정균미출현단렬、송동혹자탈락등병발증。결론:후로추간식골융합연합추궁근내고정치료추간반손상적흉요추골절탈위환자료효현저,차기병발증교소。
Objective:To investigate the posterior lumbar interbody fusion combined with pedicle of tho-racic and lumbar intervertebral disc injury on fracture fixation clinical of patients with dislocation .Method:From Jan.2006 to Mar.2011 in our hospital , intervertebral disc of thoracic and lumbar fractures inpatients with 31 cases, were treated with posterior lumbar interbody fusion with pedicle screw internal fixation , evalu-ated inpatients with operation data , visual analogue score , USA spinal cord nerve function evaluation score and imaging .Result:There was statistically significant difference ( P<0.05) preoperative , postoperative and the last follow-up 7 days height of vertebral injury; at the end of follow-up, 31 patients were in stage I . Healing in patients with lumbar intervertebral fusion device , there's no obvious displacement and subsid-ence, there was no false joint formation , fixation showed no fracture , loosening or shedding complications . Conclusion:Posterior lumbar interbody fusion with pedicle screw internal fixation is effective in treatment of intervertebral disc of thoracic and lumbar fracture and dislocation injury , and with fewer complications .