经皮椎弓根螺钉内固定治疗胸腰椎骨折
姚登攀;
摘要(Abstract):
[目的]介绍胸腰椎骨折使用经皮椎弓根螺钉内固定术治疗的经验,并与开放手术比较。[方法] 2015年10月~2019年5月,60例胸腰椎骨折患者纳入本研究。按手术方式分为两组,经皮组与开放组均30例。[结果]与开放组手术相比,经皮组手术时间更短、出血量更少;此外,经皮组在Cobb角纠正程度及椎体高度的恢复程度上明显优于开放组。[结论]对单节段不伴神经损害的胸腰椎骨折行经皮椎弓根螺钉内固定术临床效果优于传统开放手术。
关键词(KeyWords): 胸腰椎骨折;经皮;椎弓根螺钉内固定术
基金项目(Foundation):
作者(Author): 姚登攀;
Email:
DOI:
参考文献(References):
- [1]Dahdaleh NS,Smith ZA,Hitchon PW.Percutaneous pedicle screw fixation for thoracolumbar fractures[J].Neurosurgical Focus,2014,25(2):337-346.
- [2]蒙泰辉,刘战立,刘云,等.经皮椎弓根螺钉内固定治疗胸腰椎骨折的临床观察[J].创伤外科杂志,2017,19(3):193-197.
- [3]叶辉.经皮微创椎弓根螺钉内固定与开放手术治疗胸腰椎骨折临床疗效比较[J].中国骨伤,2017,30(2):105-109.
- [4]Barbagallo GM,Certo F,Visocchi M,et al.Multilevel mini-open TLIFs and percutaneous pedicle screw fixation:description of a simple technical nuance used to increase intraoperative safety and improve workflow.Tips and tricks and review of the literature[J].Neurosurg Rev,2015,38(2):343.
- [5]Kim TT,Doniel D,Faris S,et al.Clinical and radiographic outcomes of minimally invasive percutaneous pedicle screw placement with intraoperative CT(O-arm) image guidance navigation[J].Neurosurg Focus,2014,36(3):E1.
- [6]Takami M,Yamada H,Nohda K,et al.A minimally invasive surgery combining temporary percutaneous pedicle screw fixation without fusion and vertebroplasty with transpedicular intracorporeal hydroxyapatite blocks grafting for fresh thoracolumbar burst fractures:prospective study[J].Eur J Orthop Surg Traumatol,2014,24(1):159-165.
- [7]余霄,庞清江.腰椎椎弓根轴线与椎板平面夹角的测量及其临床意义[J].现代实用医学,2008,20(4):303-305.