中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
3期
59-61,161
,共4页
邵才江%蔡峰%孙叶超%马云淼%宋舟锋
邵纔江%蔡峰%孫葉超%馬雲淼%宋舟鋒
소재강%채봉%손협초%마운묘%송주봉
伤椎%椎弓根%胸腰椎
傷椎%椎弓根%胸腰椎
상추%추궁근%흉요추
Fracture level%Pedicle%Thoracolumbar spine
目的：探讨伤椎单侧置钉技术治疗胸腰椎骨折的可行性和有效性。方法2008年1月～2012年12月对胸腰椎骨折患者采用伤椎单侧置钉技术治疗62例，分别于术后3～5 d、3个月、6个月、12个月复查X线片，观察骨折椎愈合情况，比较术前、术后、末次随访时的矢状位Cobb角、伤椎前、后缘高度情况。结果所有病例随访6~35个月，平均18个月，无内固定装置松动或断裂情况出现。末次随访时Cobb 角、椎体前、后缘高度分别由术前的（25.7±4.1）°、（49.6±1.8）%、（93.2±1.8）%矫正恢复到（9.2±1.5）°、（87.6±2.4）%、（97.2±1.9）%，后凸畸形矫正率为（94.5±2.7）%，矫正丢失率为（2.3±0.7）%。脊髓神经功能均有1～3级的改善（除4例A级及2例B级患者）。结论伤椎单侧置钉技术治疗胸腰椎骨折能加强伤椎的固定强度及稳定性，并维持后凸畸形的纠正。
目的：探討傷椎單側置釘技術治療胸腰椎骨摺的可行性和有效性。方法2008年1月～2012年12月對胸腰椎骨摺患者採用傷椎單側置釘技術治療62例，分彆于術後3～5 d、3箇月、6箇月、12箇月複查X線片，觀察骨摺椎愈閤情況，比較術前、術後、末次隨訪時的矢狀位Cobb角、傷椎前、後緣高度情況。結果所有病例隨訪6~35箇月，平均18箇月，無內固定裝置鬆動或斷裂情況齣現。末次隨訪時Cobb 角、椎體前、後緣高度分彆由術前的（25.7±4.1）°、（49.6±1.8）%、（93.2±1.8）%矯正恢複到（9.2±1.5）°、（87.6±2.4）%、（97.2±1.9）%，後凸畸形矯正率為（94.5±2.7）%，矯正丟失率為（2.3±0.7）%。脊髓神經功能均有1～3級的改善（除4例A級及2例B級患者）。結論傷椎單側置釘技術治療胸腰椎骨摺能加彊傷椎的固定彊度及穩定性，併維持後凸畸形的糾正。
목적：탐토상추단측치정기술치료흉요추골절적가행성화유효성。방법2008년1월～2012년12월대흉요추골절환자채용상추단측치정기술치료62례，분별우술후3～5 d、3개월、6개월、12개월복사X선편，관찰골절추유합정황，비교술전、술후、말차수방시적시상위Cobb각、상추전、후연고도정황。결과소유병례수방6~35개월，평균18개월，무내고정장치송동혹단렬정황출현。말차수방시Cobb 각、추체전、후연고도분별유술전적（25.7±4.1）°、（49.6±1.8）%、（93.2±1.8）%교정회복도（9.2±1.5）°、（87.6±2.4）%、（97.2±1.9）%，후철기형교정솔위（94.5±2.7）%，교정주실솔위（2.3±0.7）%。척수신경공능균유1～3급적개선（제4례A급급2례B급환자）。결론상추단측치정기술치료흉요추골절능가강상추적고정강도급은정성，병유지후철기형적규정。
Objective To evaluate the feasibility and clinical therapeutic effect of unilateral pedicle screw fixation in treatment of thoracolumbar fractures. Methods From January 2008 to December 2012, 62 patients with thoracolumbar fractures were treated with unilateral pedicle screw fixation. X-ray were underwent after 3 to 5 days, 3 months, 6 months, 12 months respectively, observed vertebral fracture healing and compared the Cobb angle, vertebral front and rear edge height situation before and after surgery, sagittal last follow-up. Results All patients were followed up from 6~35 months with an average of 18 months. No internal fixation failure was found. The Cobb’angle, anterior and poste-rior vertebral body height before operation were(25.7±4.1)°, (49.6±1.8)%, (93.2±1.8)%, which by preoperative correction back to (9.2±1.5)°, (87.6±2.4)%, (97.2±1.9)% at last follow up. The kyphosis correction rate was (94.5±2.7)% and the correction loss rate was (2.3±0.7)%. Spinal cord function were improved level 1~3 (excepted 4 cases of patients with grade A and 2 cases with grade B). Conclusion The method of using unilateral pedicle screw fixation can strengthen the injured vertebra fixed strength and stability, and maintain the kyphosis deformity correction.
