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一期后路椎管减压、椎间植骨内固定术治疗胸、腰椎爆裂性骨折的临床观察
  • ISSN号:1671-8348
  • 期刊名称:重庆医学
  • 时间:2012
  • 页码:2038-2040
  • 分类:R683.2[医药卫生—骨科学;医药卫生—临床医学;医药卫生—外科学]
  • 作者机构:[1]第三军医大学新桥医院骨科,重庆400037
  • 相关基金:国家自然科学基金资助项目(81071523);重庆市基金资助重点项目(CSTC2011BA5009)
  • 相关项目:强直性脊柱炎骨化诱导相关因子的基因克隆与鉴定
中文摘要:

目的探讨后路经椎根、椎管减压,椎间植骨内固定术治疗胸、腰椎爆裂性骨折中的临床疗效。方法收集该科2009年1月至2010年2月应用经后路椎体次全切、钛网植骨重建、椎弓根螺钉内固定技术治疗胸、腰椎爆裂性骨折患者16例,其中,男9例,女7例;年龄23~55岁。T12骨折5例,L1骨折7例,L2骨折4例。Denis分型均为爆裂性骨折,其中:A型4例、B型8例、D型3例、E型1例;Frankel分级:A级6例,B级2例,C级5例,D级2例,E级1例。结果术后评估神经恢复情况和伤椎Cobb角矫正情况。结果手术顺利,术后无神经症状加重及相关并发症发生。13例患者随访1年以上,3例失访。末次随访伤椎Cobb角8°~16°,平均8.6°,4例Frankel A级患者神经功能无明显恢复,其余神经功能均有不同程度恢复。结论经一期后路骨折减压、椎间植骨内固定手术创伤小、手术时间短、减压充分,在治疗胸、腰椎爆裂性骨折中具有较好的优势。

英文摘要:

Objective To investigate the management and clinical effect of subtotal corpectomy and three-column stabilization through posterior approach for thoracolumbar burst fractures.Methods Sixteen cases(9 males,7 females) with the thoracolumbar burst fractures in the hospital from Jan 2009 to Feb 2007,were treated with posterior subtotal resection of vertebral body,implantation of titanium cage reconstruction,and pedicle screw internal fixation.The group age was from 23 to 55 years old.The site of the fracture were T12 in 7 cases,L1 in 4 cases,and L2 in 4 cases.According to Denis′ classification,all cases were burst fracture,including:A type 4 cases,B type 8 cases,D type 3 cases,and E type 1 case.Six patients had neurologically complete paralysis,nine incomplete,and one intact.Pre and post operative neurological status,the correction and loss of Cobbs angle were evaluated.Results All patients during and after surgery were without severe complications,and postoperative clinical symptoms improved significantly.13 patients were observed for more than 1 years.Three patients were lost in observed.Last follow-up vertebral Cobb angle was 8°-16°(mean 8.6°).Four patients Frankel A Grade of neurological function were with no significant recovery,and the rest had varying degrees of neurological recovery.Conclusion The subtotal corpectomy and three-column stabilization through posterior approach for thoracolumbar burst fractures,surgery time is short,and three-column injury in the treatment of thoracolumbar fractures is with satisfactory clinical results.

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期刊信息
  • 《重庆医学》
  • 北大核心期刊(2011版)
  • 主管单位:重庆市卫生和计划生育委员会
  • 主办单位:重庆市卫生信息中心
  • 主编:吴开明
  • 地址:重庆市渝北区回兴唐家沟宝环路420号
  • 邮编:401120
  • 邮箱:
  • 电话:023-61965157
  • 国际标准刊号:ISSN:1671-8348
  • 国内统一刊号:ISSN:50-1097/R
  • 邮发代号:78-27
  • 获奖情况:
  • “中国科技论文在线”2011年“一等奖”,2012年重庆市新闻出版局“重庆报刊发展专项基金”
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,波兰哥白尼索引,美国剑桥科学文摘,中国中国科技核心期刊,中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:91150