AF system in the treatment of thoracolumbar burst fracture experience of 60 cases.docVIP

 PAGE \* MERGEFORMAT 7 AF system in the treatment of thoracolumbar burst fracture experience of 60 cases [Abstract] [Objective] To investigate the AF system in the treatment of thoracolumbar burst fracture of the clinical efficacy. [Method] 60 patients with thoracolumbar burst fractures were AF system fixation. [Results] 54 patients received 6 months after 2 year follow-up X-ray film taken after surgery showed anterior vertebral height most of the recovery of about 95%. Postoperative recovery of neurological function according to Frankel criteria, 51 patients had 1 to 3 level recovery, 3 cases of no recovery. fractures healed internal fixation had been removed in 12 cases, no loss of vertebral height. [Conclusion] AF system in the treatment of thoracolumbar burst fracture with a simple structure, easy operation, fixed and reliable clinical results were satisfactory. [Keywords:] thoracolumbar fractures, AF system, internal fixation Thoracolumbar spine burst fracture is the most common type of fracture, often accompanied by spinal cord injury. Since January 2002 ~ January 2007, application of AF system in the treatment of thoracolumbar burst fractures were 60 cases, achieve a satisfactory effect, the experience is as follows: 1 Clinical data 1.1 General Information The group of 60 patients were fresh fractures, 49 males and 11 females, aged 18 to 57 years, mean 34.6 years old. Fractures parts: two vertebral fractures, T10, 111 例, T12L13 cases, the rest as a single vertebral fracture , T102 cases, T119 cases, T1222 cases, L125 cases, L27 cases. The causes of injury: 46 cases of falling injury, traffic accident in 14 cases. nerve injury by Frankel grade: A 4 cases, B 12 cases, C-level 10 cases, D 8 cases, E-class in 26 cases. All cases were confirmed by X ray before surgery, CT examination. X ray showed compressed lt;1 / 3 in 1 case, 1 / 3 to 1 / 2 in 32 cases,gt; 1 / 2 in 27 cases. CT showed vertebral body placeholder lt;1 / 2 in 26 cases,gt; 1