胸腰段脊柱骨折短节段内固定的疗效与相关因素分析

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1、英文摘要ClinicaleffectandCorrelationanalysisofShort-SegmentPedicleInstrumentationforThoracolumbarfracturesABSTRACTObjective：Withthedevelopmentofmodemscience，transportationandconstruction，theincidenceoftraumaticspinalcordinjuryhadrisensharply．Thoracolumbarfracture(T11

2、-VL2)isthemostcommonofthiskindinjuryinclinic，whichaccountsfor7．23％ofthewholebodvfracturesandcouldaccompany而ththeinjuryofspinalcord，conusmedullarisandcaudaequine(menaremorethanwomen，mostoftheiragesarebetween41and50)．ThoracicspineiSrelativelyfixedwhile1umbarspineiS

3、moremobilizable．Thethoracolumbarspineistheturningpointfromthoracickyphosistolumbarlordosis，thefacetsofarticularprocessesarefromcoronarytosagittalinthisarea．Whenspinesufferedfromviolence，strengthcouldfocusonthoracolumbarsegmentandledtothoracolumbarfractures．Thisar

4、eaisalsoatransitionzonebetweenspinalcordandcaudaequine，SOspinalcordandcaudaequinecouldbeinjuredwhenfractureshappened．ThoracolumbarfracturesarecomplicatedandCancauseahighdisabilityrate．Withoutalleffectivetreatment，itwouldaffectthepatient’Squalityoflifeseriouslyand

5、bringaheavyeconomicburdentofamily,societyandnation．Sostrengthentheresearchofthisinjuryisofgreatsignificance．Goalsforthetreatmentaretostabilizethespineandprotectorrestorenervefunction，toimprovethequalityofpatients’lifeandworkability．Inclinic，nounifiedstandardisacc

6、eptedtoguidethetreatment，itremainscontroversial．Pediclescrewfixationhasbecomepopularforthoracolumbarfracturesbyitsgoodrestorationandeffect．Theanatomyofposteriorapproachwassimpleanditstechniquewaseasytograspwithsmallertraumaandlessbleeding．SopedicleSCreWfixationte

7、chniquehasbeenwidelyusedinhospitalsatalllevels．Butthelatefollow-upfoundthatpediclescrewfixationhadsomefailurerate，correctionloseandkyphosisexacerbation，whichcouldinfluence也epatient’S4英文摘要1ifeandwork．Inthisstudy,wefollowedupsomethoracolumbarfracturespatientstreate

8、dbyshort-segmentpedicleinstrumentation(SSPI)toevaluatetheeffectofSSPIandexplorefactorsthatledtofixationfailureandcorrectionlose．Methods：59casesofthoracolumbarf