Pedicle screw system fixation of thoracolumbar fracture with spinal cord injury in Perioperative Nursing Care.doc

 PAGE \* MERGEFORMAT 12 Pedicle screw system fixation of thoracolumbar fracture with spinal cord injury in Perioperative Nursing Care Keywords: thoracolumbar fractures with spinal cord injury Our hospital from January 2004 to June 2007, using posterior decompression and fusion with pedicle screw fixation to treat 32 cases of thoracolumbar fracture with spinal cord injury patients, to achieve a satisfactory effect, now care coverage points are as follows. A clinical data 1.1 General Information The group of 32 cases in men and 25 cases, 7 females; aged 30 to 64 years old, with an average age of 39. Cause of his injuries: 23 cases fall height, traffic injury in 9 cases; injured parts: T11 2 Li, T12 5 Li, L1 15 Li, L2 8 Li, L3 2 Li. Nerve Injury Classification: Based on franket classification [1]: A-level non-sensory and motor function (6 cases), B Grade: sensory function is not completely lost, no motor function (3 cases), C Grade: sensory function is not completely lost, no useful motor function (3 cases), D Grade: sensory function is not completely lost, with use of the motor function (6 cases), E Grade: normal function, there may be spasticity (14 cases). Combined closed thoracoabdominal injury in 7 patients, multiple fractures in 13 cases. 1.2 surgical The whole group of cases were anesthesia posterior decompression and fusion pedicle screw system fixation. 1.3 Results Grade Ⅰ wound were healed without complications. Were 6 to 12 months follow-up, the results of preoperative A-6 cases returned to B-3 cases, restored to the C-1 case, no significant recovery in 2 cases, preoperative B-3 cases restored to the C-1 case, D-level 2 cases, preoperative C-3 cases restored to the D-class 2 cases, E Grade 1 case, 6 cases of preoperative D Grade E Grade 6 cases of recovery. X-ray examination in patients with healed fractures, bone fusion good fixation without loosening and fracture phenomena, injury of vertebral he