[精品][精品]【精品资料】经伤椎椎弓根螺钉固定治疗胸腰椎骨折的临床体会.doc

《[精品][精品]【精品资料】经伤椎椎弓根螺钉固定治疗胸腰椎骨折的临床体会.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、［精品］【精品资料】经伤椎椎弓根螺钉固定治疗胸腰椎骨折的临床体会经伤椎椎弓根螺钉固定治疗胸腰椎骨折的临床体会［摘要］冃的探讨经伤椎椎弓根螺钉固定技术治疗胸腰椎骨折的临床效果。方法选取本院2009年2月、2012年12月收治的胸腰椎骨折患者104例，采用经伤椎椎弓根螺钉固定技术治疗,分别于手术前、手术后1周内、末次随访时拍摄胸腰椎X线片、CT片，测量伤椎前缘高度、Cobb角、椎管截面积等，观察骨折愈合，内固定物有无松动、断裂和脊髓神经损伤恢复情况，根据美国脊柱损伤协会(ASIA)分级评定脊髓损伤恢复情况

2、。结果随访11〜18个月，手术后1周内伤椎椎体前缘高度、Cobb角与手术前比较，差异有统计学意义(P0.05)o随访期间没有发现椎弓根螺钉系统松动、断裂，随访期间患者脊髓损伤功能恢复1〜2级。结论经伤椎椎弓根螺钉I古I定技术治疗胸腰椎骨折行之有效，不仅使伤椎椎体高度恢复满意，矫止后凸畸形，而且可减少椎弓根螺钉系统松动、断裂，是治疗胸腰椎骨折的有效方法，值得临床推广应用。［关键词］胸腰椎骨折；伤椎；椎弓根螺钉固定［中图分类号JR683：文献标识码］B［文章编号］1674-4721(2014)04(c)-

3、0161-04ClinicalexperienceofpediclescrewfixationintreatmentofthoracolumbarfracturesDUYing-junWANGFeiDepartmentofNeurosurgery,theCentralHospitalofJiangjinDistrictinChongqingCity,Chongqing402260,China［Abstract］ObjectiveTostudytheclinicalefficacyofpediclesc

4、rewfixationintreatmentofthoracolumbarfractures・Methods104casesofpatientswiththoracolumbarfractureadmittedinourhospitalfromFebruary2009toDecember2012wereselected,andweregivenwithpediclescrewfixationtreatment.Beforesurgery,aweekaftersurgery,thelastfollow-

5、up,thoracolumbarX-ray,CTsliceswasshot;theinjuredvertebraanteriorheight,Cobbangle,spinalandothercross-sectionalareawasmeasured;fracturehealing,loosefixation,fractureandspinalcordinjuryrecoverywasobserved,therecoveryofspinalcordinjurywasassessedbyASIAclas

6、sification.ResultsThepatientswerefollowedupfor11to18monthsafteroperation.Theinjuriesvertebralvertebralheight,Cobbangleafter1weektreatmentcomparedwithbeforesurgery,thedifferencewassignificant(P0・05)・Nopediclescrewloosening,fracturewasfoundduringfollow-up

7、.Thefunctioninpatientswithspinalcordinjurywasrecovered1to2duringfollow-upperiod.ConclusionPediclescrewfixationintreatmentofthoracolumbarfractures,notonlymakethevertebralheightrecoveredsatisfactorily,kyphosiscorrection,butalsoreducethelooseningofpedicles

8、crewsystems,fracture,isaneffectivemethodforthetreatmentofthoracolumbarfractures,anditisworthyofclinicalapplication.[Keywords]Thoracolumbarfracture;Injuredvertebra;Pediclescrewfixation胸腰椎骨折是临床常见疾病，常伴有脊髓和(或)马尾神经损伤，骨折可影响脊柱的稳定性，早期治疗对