后路椎体次全切钛网植入内固定治疗胸腰椎爆裂骨折

《后路椎体次全切钛网植入内固定治疗胸腰椎爆裂骨折》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、重庆医科大学硕士研究生学位论文POSTERIORSUBTOTALVERTEBRAECTOMY,TITANIUMCAGERECONSTRUCTIONANDINTERNALFIXATIONOFSPINEINTHETREATMENTOFTHORACOLUMBARBURSTFRACTURESABSTRACTObjectiveToevaluatetheefficacyandprognosisoftreatingthoracolumbarburstfracturesbysubtotalvertebreectomy,titaniumcagereconstructionandfix

2、ationwithpediclescrewthroughposteriorapproach.MethodsFromJune2010toJune2014,35patients(21malesand14females)withthoracolumbarburstfractureswhowereslecetedbythoracolumbarinjuryclassificationandseverityscoresystemandloadingsharingclassificationsystem,weretreatedbyposteriorsubtotalresectio

3、nofvertebralbodywithimplantationoftitaiumcageanddistractionreductionfixationatonestage.Neurologicalstatusatpreoperative,postoperativeandfinalfollow-upwerereviewedbyASIAscoringsystem.Thedistraction,redutionandwerereviewedbyradiologically.ResultsAllofoperationprocedureswerecarriedoutsucc

4、essfully.Cerebrosinalfluidleakageoccurredin6patients,theothershadnopostoperativecomplications.Allpatientswerefollowedupwithanaverage4万方数据重庆医科大学硕士研究生学位论文of15.3±6.8months.Nervousfunctionimprovedindifferentdegreeinallpatientsexcpet5patientswhohadthenervousfunctionofgradeA.Satisfactoryredu

5、ctionwereobservedradiologicallypostoperative.Allpatientshadcompletebonyfusionatfinalfollow-upwithoutpseudathrosis.ConclusionItisanidealoperationmethodforthetreatmentofthoracolumbarburstfracturesbysubtotalresectionofvertebralbody,reconstructiontheanteriorandmiddlecolumnswithtitaniumcage

6、andfixationwithpediclescrewthroughposteriorapproach.Ithastheadvantagesofconvenientoperation,lesscomplications,thoroughlydecompressionandsufficinetresumevertebralbodyheight.KeyWords:thoracolumbarburstfractures;subtotalvertebreectomy;titaniumcagereconstruction;thoracolumbarinjuryclassifi

7、cationandseverityscoresystem;loadingsharingclassificationsystem5万方数据重庆医科大学硕士研究生学位论文后路椎体次全切钛网植入内固定治疗胸腰椎爆裂骨折前言胸腰椎脊柱爆裂骨折是临床较为常见的脊柱损伤类型，脊柱胸腰段区域的定义为胸11椎~腰2椎之间，由于处于相对固定的胸椎后凸段与活动的腰椎前凸段[1]的应力转换区域，因此易于损伤。脊柱爆裂骨折的概念由Holdsworth首次提出，他将其定义为脊柱在轴向负荷的作用下椎间盘髓核压入椎体，引起上下终板骨折，[2]且椎体骨折片向外位移的骨折。1983年Denis提