田纪伟;赵庆华;王雷;董双海;夏天;王震;刘诚一;

• 1:上海交通大学附属第一人民医院

摘要(Abstract)：

[目的]复习一组应用TSRH-3D椎弓根螺钉系统复位并椎弓根内固定治疗多节段腰椎骨折病人的临床资料,探讨该技术对腰椎骨折复位及内固定的治疗效果及远期疗效。[方法]本组18例,应用TSRH-3D椎弓根螺钉系统复位并椎弓根内固定治疗多节段腰椎骨折,均于伤后4 h～2 d内手术,所有患者均得到随访,随访时间15～32个月,平均23个月。均于术前、术后、末次随访时拍摄脊柱正侧位X线片、CT片。[结果](1)本组12例(67%)为高处坠落伤,5例(28%)为车祸伤,1例(5%)为挤压伤;(2)脊柱活动改善率为67%;腰背痛改善率为94%;下肢疼痛改善率为78%;(3)与术前相比,伤椎前缘高度平均矫正59.2%,平均丢失5.2%(P<0.01);Cobb′s角平均矫正19.5°,平均丢失5.4°(P<0.01)。[结论]采用TSRH-3D椎弓根螺钉内固定系统治疗多节段腰椎骨折对损伤节段可有满意的复位及内固定效果,有利于恢复脊柱伤椎高度、生理弧度和神经功能以及消除腰腿痛,有较好的远期疗效。

关键词(KeyWords)： 腰椎;脊柱骨折;内固定术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 田纪伟;赵庆华;王雷;董双海;夏天;王震;刘诚一;

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参考文献(References)：

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