国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
4期
495-497
,共3页
胸腰椎多节段脊柱骨%手术%胸腰椎
胸腰椎多節段脊柱骨%手術%胸腰椎
흉요추다절단척주골%수술%흉요추
Multiple level thoracolumbar spinal fractures%Surgery%Thoracolumbar vertebra
目的 探讨胸腰椎多节段脊柱骨折应用椎弓根系统治疗的临床效果.方法 回顾性分析2008年11月至2012年6月我院收治的52例胸腰椎多节段脊柱骨患者的临床资料,对患者采用后路椎弓根系统复位固定方法,选择性椎管减压、植骨融合治疗,观察手术前后骨折复位及Franke1分级变化情况.结果 本组52例随访5～ 36个月,平均12.7个月.随访期间未出现内固定松动、断钉、断棒.椎体高度由术前22.6％～75.3％(平均45.2％),恢复到术后80.5％～99％(平均92.1％).术后、随访时Cobb 角度分别为(5.12±2.52)°、(5.31±2.58)°,与术前比较差异具有显著性(P＜0.05).Frankel分级:A级15例恢复到B级6例；B级9例恢复到C级4例,恢复到D级5例；C级16例恢复到D级6例,恢复到E级10例；D级7例全部恢复到E级,E级5例无变化.结论 应根据患者具体损伤情况进行个体化治疗方式治疗胸腰椎多节段脊柱骨折,以达到减JK、恢复脊柱正常序列、重建脊柱稳定的目的.
目的 探討胸腰椎多節段脊柱骨摺應用椎弓根繫統治療的臨床效果.方法 迴顧性分析2008年11月至2012年6月我院收治的52例胸腰椎多節段脊柱骨患者的臨床資料,對患者採用後路椎弓根繫統複位固定方法,選擇性椎管減壓、植骨融閤治療,觀察手術前後骨摺複位及Franke1分級變化情況.結果 本組52例隨訪5～ 36箇月,平均12.7箇月.隨訪期間未齣現內固定鬆動、斷釘、斷棒.椎體高度由術前22.6％～75.3％(平均45.2％),恢複到術後80.5％～99％(平均92.1％).術後、隨訪時Cobb 角度分彆為(5.12±2.52)°、(5.31±2.58)°,與術前比較差異具有顯著性(P＜0.05).Frankel分級:A級15例恢複到B級6例；B級9例恢複到C級4例,恢複到D級5例；C級16例恢複到D級6例,恢複到E級10例；D級7例全部恢複到E級,E級5例無變化.結論 應根據患者具體損傷情況進行箇體化治療方式治療胸腰椎多節段脊柱骨摺,以達到減JK、恢複脊柱正常序列、重建脊柱穩定的目的.
목적 탐토흉요추다절단척주골절응용추궁근계통치료적림상효과.방법 회고성분석2008년11월지2012년6월아원수치적52례흉요추다절단척주골환자적림상자료,대환자채용후로추궁근계통복위고정방법,선택성추관감압、식골융합치료,관찰수술전후골절복위급Franke1분급변화정황.결과 본조52례수방5～ 36개월,평균12.7개월.수방기간미출현내고정송동、단정、단봉.추체고도유술전22.6％～75.3％(평균45.2％),회복도술후80.5％～99％(평균92.1％).술후、수방시Cobb 각도분별위(5.12±2.52)°、(5.31±2.58)°,여술전비교차이구유현저성(P＜0.05).Frankel분급:A급15례회복도B급6례；B급9례회복도C급4례,회복도D급5례；C급16례회복도D급6례,회복도E급10례；D급7례전부회복도E급,E급5례무변화.결론 응근거환자구체손상정황진행개체화치료방식치료흉요추다절단척주골절,이체도감JK、회복척주정상서렬、중건척주은정적목적.
Objective To explore the clinical efficacy ofpedicle screw-rod spine for multiple level thoracolumbar spinal fractures.Methods 52 cases of multiple level thoracolumbar spinal fractures were analyzed retrospectively from November 2008 to June 2012,who received open reduction,internal fixation with pedicle screw-rod spine,selective vertebral canal decompression,and postemlateml fusion with bone graft.Reduction of the fracture and Franke 1 grade were observed before and after surgery.Results 52 cases were followed up for 5-36 months,with an average of 12.7 months.No implant failure and kyphosis deformity was found.The average fractured vertebra height was improved from per-operative 22.6％-75.3％(the average of 45.2％) to post-operative 80.5％-99％(the average of 92.1％).Cobb angle post-operative and followed up were (5.12 ± 2.52)° and (5.31 ± 2.58)°,which were significantly different from that of preoperative (P＜ 0.05).Frankel scale assessment showed that 6 cases of grade A improved to grade B,4 cases of grade B to grade C,5 cases of grade B to grade D,6 cases of grade C to grade D,10 cases of grade C to grade E,7 cases of grade D to grade E,and 5 cases of grade E had no improvement.Conclusion The treatment of multiple level thoracolumbar spinal fractures should be individualized according to patients'actual conditions in order to obtain decompression,restore the normal spinal structure and stability of spines.
