Pedicle screw fixation and fusion for thoracolumbar burst fracture in 15 cases.docVIP

 PAGE \* MERGEFORMAT 6 Pedicle screw fixation and fusion for thoracolumbar burst fracture in 15 cases [Abstract] open reduction with posterior pedicle screw fixation, bone grafting treated 15 patients with thoracolumbar burst fractures, burst fractures of thoracolumbar the indications, postoperative rehabilitation measures and clinical efficacy. That the surgical procedures is a simple, accurate reduction, fixation reliable. [Keywords:] thoracolumbar fractures; pedicle; fixation; decompression 2004 to 2008, we pedicle screw fixation for thoracolumbar fractures in 15 cases, results were satisfactory, are reported below. Clinical data 1 General information The group of male 11 cases, 4 females; aged 22 to 65 years, mean 41.5 years of age. At the fracture site: T12 6 , T12 ~ L5 multiple fractures in 2 cases, L14 cases, L23 cases. Preoperative neurological function (Frankel grade): A 1 case, B 4 cases, C grade in 7 cases, D 2 cases, E 1 case. measuring anterior vertebral height of the normal 30% to 55%, average 40%, Cobb angle was 25 (15 ~ 38 ). 2 treatment 2.1 The group were surgical surgery under general anesthesia. C-arm positioning under X ray to the center for the posterior vertebral midline incision to expose the injured vertebra and the upper and lower vertebrae spinous process, lamina, upper and lower articular process, is bounded on both sides of the transverse process tip. in the adjacent normal pedicle screw into the base of the upper part. Fixed a vertebra vertebrae above and below to reset distraction screw-rod system to correct kyphosis. as appropriate decompression laminectomy. 2.2 Postoperative management after a hard protective brace 3 to 6 months. 5 ~ 7 days after such a long low back muscle exercise, bed rest for 6 weeks, neurological TSLO brace with the permission of bed to walk. While maintaining the back muscle exercise. Immediately after, 3,6,12 months after X-ray review and evaluate the neurological function improve