Posterior short segment fixation fusion selective treatment of thoracolumbar burst fracture.doc

 PAGE \* MERGEFORMAT 17 Posterior short segment fixation fusion selective treatment of thoracolumbar burst fracture Of: Liu Peng, Li Yuanan, Zhao Jianhua, Liu Feng, Liu Mingyong, Fan Wei force [Abstract] Objective To explore the use of posterior open reduction and short segment fixation, bone grafting treatment of thoracolumbar burst fracture of the indications, surgical measures, postoperative rehabilitation measures and clinical efficacy was observed. Methods Retrospective analysis of 2003 In 6 months to December 2006 will be accepted with open reduction and posterior short segment fixation, bone grafting, 27 cases with thoracolumbar burst fracture data. preoperative anterior vertebral height of 40 normal % to 65%, preoperative thoracolumbar kyphosis is 22 ~ 44 . nerve function Frankel C grade in 6 cases, D 9 cases, E-class in 12 cases. surgical fixation of a vertebral body above and below the injured vertebra, the use of autologous posterior or posterolateral bone grafting. after a hard protective brace 3 to 6 months. with the Oswestry disability index assessed functional recovery of low back function. Results mean follow-up 18.3 months (12 to 31 months. anterior injury The average height of recovery to normal margin of 87% (65% to 100%, the average immediate postoperative kyphosis 9 (0 ~ 30 , the final degree of follow-up of the average loss of correction 3.7 (0 ~ 6 , plant fusion rate was 100%, no fixation failure. After an average of 1 ratings Frankel, dysfunction of the final follow-up Oswestry index average of 11% (0% to 40%. Conclusion short segment posterior fixation and fusion in the treatment of acute unstable thoracolumbar burst fracture, fracture reduction and obtain a satisfactory clinical results, postoperative brace protection helps maintain the hard reset effect. [Keywords:] fracture, internal fixation, fusion Abstract: Objective To investigate the indication, operative management, postoperative rehablitation of burst fractures