Pedicle bone graft in the thoracic and lumbar fractures.doc

 PAGE \* MERGEFORMAT 6 Pedicle bone graft in the thoracic and lumbar fractures Of: Chengzhi Tao, Xia Chunming, He Zhenghua, Xu, Chen Gang [Abstract] analyzed 38 cases of internal fixation of thoracolumbar fractures RF transpedicular vertebral bone after intertransverse bone grafting changes in vertebral body height, Cobb angle to correct the degree and Frankel neurological evaluation. That the method can effectively restore vertebral height, spinal deformity correction, reconstruction of spinal stability, and reduce the degree of post-correction of vertebral height loss, the exact long-term results. [Keywords:] thoracolumbar fractures; internal fixation; graft Pedicle screw system for treatment of vertebral burst fractures often present broken nails, broken shot, reset insufficiency and the late loss of vertebral height reduction and other issues. Our hospital in March 1999 ~ August 2007 and after fixation with RF pedicle bone grafting to treat 38 patients with thoracolumbar burst fractures, the report is as follows. Clinical data 1 General Information The group of 38 patients, 26 males and 12 females; age of 39 to 78 years, mean 60 years. Fractures according to Denis classification [1], A, 3 cases, B-16 cases, C-type in 11 cases, D 8 cases. preoperative lateral X-ray measurements: Cobb’s angle of 19.5 (11 ~ 29 ), 60% of vertebral compression level (50% -80%). preoperative classification of spinal cord function by Frankel: A-level 4 cases, B 12 cases, C grade 17 cases, D-level in 5 cases. injury from the operation time: 8 hours to 12 days, an average of 48 hours. 2 surgical methods prone position, elevate the chest and two iliac, abdominal vacant. Installed RF system and the initial reset, install the side of the connecting rod. The other side of the vertebral pedicle from the Ministry of drilling, from the iliac bone fragments through the vertebral implanted pedicle hole and compacted. preoperative CT examination of bone slices by passin