冯勇;雍浩川;张晓星;晁瑞;张鑫;邓志龙;曹志东;

• 1:重庆大学附属中心医院(重庆市急救医疗中心)骨科

摘要(Abstract)：

[目的]探讨非植骨融合单纯经皮短节段椎弓根螺钉固定治疗伴有后方韧带复合体损伤的屈曲-牵张型(AO分类B型)不稳定胸腰段脊柱骨折的临床疗效。[方法]回顾性分析2015年1月～2018年10月本院采用非植骨融合单纯经皮短节段椎弓根螺钉固定治疗的39例伴后方韧带复合体损伤的屈曲-牵张型不稳定胸腰椎骨折患者,总结围手术期、随访和影像资料。[结果]所有患者手术顺利完成,术中未发生脊髓神经根、血管损伤;手术时间(85.52±6.10) min,术中出血量(60.34±23.12) ml,支具保护下地行走时间(2.61±0.35) d,住院天数(9.47±1.61)d。所有患者随访(14.22±1.16)个月,随时间推移,39例患者的VAS和ODI评分均显著减少(P<0.05)。影像方面,与术前相比,术后39例患者椎体前缘高度显著增加(P<0.05),而矢状面Cobb角显著减少(P<0.05)。术后椎体前缘高度和矢状面Cobb角无显著改变(P>0.05)。至末次随访时,未出现内固定断裂或松动。[结论]非植骨融合单纯经皮微创后路短节段椎弓根螺钉固定治疗无神经功能损害的伴有后方韧带复合体损伤的屈曲-牵张型不稳定胸腰段脊柱骨折安全有效。

关键词(KeyWords)： 胸腰椎骨折;屈曲-牵张型损伤;Chance骨折;后方韧带复合体;经皮椎弓根螺钉

Abstract:

Keywords:

基金项目(Foundation): 重庆市教委科学技术研究计划项目（编号：KJQN201900105）;; 重庆市卫计委科研项目（重庆市医学高端后备人才培养项目）（编号：2015HBRC014)

作者(Author): 冯勇;雍浩川;张晓星;晁瑞;张鑫;邓志龙;曹志东;

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参考文献(References)：

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