后路伤椎置短椎弓根螺钉技术治疗胸腰椎爆裂性骨折.pdfVIP

后路伤椎置短椎弓根螺钉技术治疗胸腰椎爆裂性骨折 武汉市第一医院脊柱创伤骨科 刘沛，肖少雄，熊伟 【摘要】目的：探讨后路伤椎置短椎弓根螺钉技术治疗胸腰椎爆裂性骨折的可行性及临床意 义。方法：武汉市一医院脊柱创伤科自2009年3月一2012年3月施行后路伤椎置短椎弓根螺钉技术治疗 胸腰椎爆裂性骨折的患者88例，以纠正伤椎的后凸畸形和移位，88例II缶床资料全部随访，随访时间2个 月～37个月，平均18．4个月。术前术后Denis腰痛分级，定期复查脊柱正侧位x光片，观察其疗效。结 学意义(Po．05)结论．o后路伤椎置短椎弓根螺钉技术治疗胸腰椎爆裂性骨折，有利于骨折复位和骨 折的愈合，改善固定强度，防止断钉和脱钉的发生． 【关键词】胸腰椎；爆裂性骨折；短椎弓根螺钉 fractured the sc∞ewsinthetreatmentofthoraeolumbarburst Posterior vertebralhomeshort pedicle fractures First ofWuhan trauma Hospital spineorthopedicUupeixiaoshaoxiongxiongwei [Abstract] To the fracturedvertebralhomeshort screw Objectiveinvestigateposterior pedicle andclinical ofthetreatmentofthoracolumbarburstfractures．Method technologyfeasibility significance inMarch fractured Wuhan Trauma sinceMarch2009-2012 CityHospitalSpinal purposes posterior screwsinthetreatmentofthoracolumbarburstfracture 88 vertebralhometheshort cases，in pedicle patients 88 ordertocorrectthefracturedvertebral andshiftalltheclinicaldataof caseswerefollowed kyphosis up， andthe of2monthsto37 an of18．4 and months，with follow-upperiod averagemonths．Preoperative islateral evaluate Denis reexamination lumbagograding，theregular x—rays，tO efficacy． postoperative spine Results：The vertebra ratio(55．1±10．2)％，Cobb7．0±7．8)． preoperativeinjury