卢绪;汪建良;许科峰;郭峰;刘卫峰;谭章勇;卢海丹;朱永生;

• 1:解放军第101医院骨科

摘要(Abstract)：

[目的]探讨后外侧减压结合钉棒系统前后一体固定技术治疗胸腰椎爆裂性骨折的可行性及临床效果。[方法]回顾性分析解放军第101医院2009年12月~2013年12月采用后外侧减压结合钉棒系统前后一体固定技术治疗单节段胸腰椎爆裂性骨折患者,本研究共36例患者,男24例,女12例,年龄26~62岁,平均38.4岁。损伤节段:T_(11)10例,T_(12)14例,L_18例,L_24例,致伤原因:车祸伤20例,坠落伤13例,压砸伤3例。神经功能按Frankel分级:A级2例,B级5例,C级8例,D级8例,E级13例。通过对术前、术后及末次随诊时影像学指标神经功能的变化分析临床疗效。[结果]36例均获随诊,随诊时间12~36个月,平均16个月。术后1年随诊时按Frankel评分标准,均有1~3级不同程度恢复,腰背痛视觉模拟评分(VAS)较术前明显改善。患者均获得骨性愈合,随诊影像学检查示椎管狭窄率、Cobb角、椎体前后高度、神经功能恢复较术前明显改善,无内固定松动或断裂等并发症发生。[结论]后外侧减压结合钉棒系统前后一体固定技术创伤小,减压彻底,能良好的恢复脊柱的三柱稳定性,降低内固定失败发生率,是治疗胸腰椎爆裂骨折的有效方法。

关键词(KeyWords)： 胸腰椎骨折;后外侧减压;前后一体固定

Abstract:

Keywords:

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作者(Author): 卢绪;汪建良;许科峰;郭峰;刘卫峰;谭章勇;卢海丹;朱永生;

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参考文献(References)：

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