USS复位固定结合球囊扩张椎体成形术治疗胸腰椎爆裂性骨折临床探究.docVIP

USS复位固定结合球囊扩张椎体成形术治疗胸腰椎爆裂性骨折临床探究【摘要】 目的 探讨USS椎弓根固定复位并椎体缺损空洞部充填骨水泥即刻获得骨折椎体前中后三柱稳定的方法治疗胸腰椎爆裂性骨折的疗效。方法 对9例胸腰椎爆裂骨折患者，采用短节段椎弓根USS钉棒系统复位内固定，根据临床神经症状和影像学资料进行椎管减压或不减压。复位后路于伤椎进行球囊扩张骨水泥充填缺损即刻获得骨折椎体前中后柱稳定。术前术后随访，X线检查。测量伤椎椎体高度变化和相邻间隙变化等。了解术后骨折复位情况以及随访期间内固定有无失败和复位丢失情况。结果 椎体高度恢复良好，无塌陷，椎间隙无明显改变，术前神经症状消失。结论 USS短节段复位固定骨水泥充填伤椎缺损即刻获得骨折椎体前中后三柱稳定，治疗胸腰椎爆裂性骨折不仅能有效地填充椎体内骨缺损，而且早期下床活动，无椎体高度丢失情况。? 【关键词】 胸椎； 腰椎； 爆裂性骨折； 椎体成形术?? Clinical study of USS fixator tranpediculate internal fixation combined with vertebroplasty for treatment of thoracolummbor burst fracture ?CHEN Min,BAI Long,CHEN Liang-qing.The Baoan fuyong people?s hospital of Shenzhen city,Shenzhen 518103,China?? 【Abstract】 Objective To evaluate the efficacy of USS transpediculte internal fixation combined with verebral cement filling in the treatment of thoracolummbar burst fracture.Methods 9 patients with thoracolummbar burst fractures were treated using USS instrumentation.Some of them were decompressed and some of them were not decompressed according to the clinical nervous symptom and radilgraphs.After reduction,the injured vertebra were filled with cement from posterior.The immediate stability of the anterior,middle and posterior columns was obtain sixteen patiens were followed up for 9 months to 30 months.X-ray examination were done preoperatively and postoperatively.The heights of injured vertebra were measured.The reduction of fracture was investigated as well as whether there was failure of fixation and the collapse of vertabra body in the period of folloe up.Results All of the follow-up patients recovered completely without the collapse of vertebral body and nervous symptom.Conclusion After USS short-segment reduction and fixation and cement filling,the 3-column stability of injured vertebra was soon obtained and the patients could move early.? 【Key words】 Thoracic vertebra； Lumbar vertebra； Burst fractures； Vertebroplasty ?? 胸腰椎屈曲轴向压缩性损伤常引起胸腰椎压缩爆裂骨折，骨折在经椎弓根器械固定复位后，伤椎椎体高度虽然得到恢复，但椎体内骨小梁支架结构由于压缩而形成空腔，使前中柱失去了