椎弓根螺钉技术结合硫酸钙灌注椎体成形治疗胸腰椎-第三军医大学学报.doc

椎弓根螺钉内固定结合自固化硫酸钙灌注治疗胸腰椎骨折28例 张 友，冯世龙，熊小江，蒋和平，罗淑明 （重庆三峡中心医院骨科，重庆404000） 摘要 目的 探讨椎弓根钉技术结合硫酸钙灌注椎体成形治疗胸腰椎骨折的临床价值。 方法 对近2年多来收治的28例胸腰椎骨折患者行后路椎弓根螺钉复位固定及硫酸钙人工骨灌注椎体成形手术治疗, 其中A型21例,B型3例,C型4例。 结果 本组平均随访16个月。随访期内无内固定松动及断裂现象, 无慢性腰痛, 伤椎高度无丢失,注入椎体内的人工骨均在3个月内吸收。 结论 采用椎弓根螺钉技术复位固定及硫酸钙灌注椎体成形治疗胸腰椎骨折是一种安全有效、术后能提供早期负重、维持良好椎体高度的较理想方法。 关键词：　胸腰椎；脊柱骨折；椎弓根螺钉；硫酸钙人工骨；植骨术 Treatment of thoracolumbar vertebrae fractures with vertebroplasty using vertebral pedicle screw technique conbined with calcium sulfate cement injection ZHANG You, FENG Shi-Long, XIONG Xiao-Jiang, JIANG He-Ping, LUO Shu-Ming (Department of Orthopaedics, Central Hospital of Three Gorges ,Chongqing ,404000, China) 【Abstract】Objective To evaluate the clinical efficacy of vertebroplasty using vertebral pedicle screw technique conbined with calcium sulfate cement injection in the treatment of thoracolumbar vertebrae fractures. Methods There are twenty-eight patients with thoracolumbar vertebrae fractures enrolled in recent 2 years, including 21 cases of type A, 3 cases of type B, and 4 cases of type C. All patients were fixed with vertebral pedicle screw, and then verteplasty was performed using calcium sulfate cement injection. Results All patients were followed up for average 16 months. Within the follow-up, we have not noticed some complications, such as loosening or breakage of internal fixation, chronical lumbar back pain, and loss of effected vertebral height, moreover, artificial bones injected into vertebrae are absorbed in roughly three months. Conclusion Vertebroplasty using vertebral pedicle screw technique conbined with calcium sulfate cement injection is an effective and safe procedure for thoracolumbar vertebae fractures, which render it possible to early bear weight and to maintain corrected vertebral height postoperatively. Key words： thoracolumbar vertebrae;spine fratures;treatment;vertebral pediclescrew;calcium sulfate cement;bone graft 后路椎弓根螺钉系统复位内固定治疗胸腰椎骨折能有效重建椎体高度,间接复位骨折块,恢复生理曲度,纠正后凸畸形,目前已经成为临床治疗胸腰椎骨折的