GSS内固定治疗胸腰段脊柱骨折临床疗效分析.docVIP

GSS内固定治疗胸腰段脊柱骨折临床疗效分析 　　[摘要] 目的 观察GSS内固定治疗胸腰段脊柱骨折的临床疗效。方法 对我院37例胸腰椎段骨折患者采用GSS内固定系统治疗。结果 本组病例术后伤口全部愈合,术中、术后拍X 线片,螺钉均准确经过椎弓根,固定位置良好,脊柱生理曲度恢复,椎体复位满意,无断钉、断棒、松脱和矫正度丢失。术后椎体高度显著高于术前,术后Cobb角显著低于术前,差异有统计学意义(P0.05)。经过12个月～4年随访,均恢复良好。结论 GSS内固定治疗胸腰椎段骨折具有操作简便、安全、损伤少、复位效果好、对脊柱活动的影响较少、融合率高等优点,值得临床推广使用。 　　[关键词] GSS; 内固定; 胸腰段脊柱骨折 　　[中图分类号] R683.2 [文献标识码] A [文章编号] 1673-9701(2010)11-119-02 　　 　　The Analysis of GSS Internal Fixation Treatment Thoracolumbar Spine Fracture Clinical Effect 　　LIN Dapeng 　　Tin Ka Ping,the Peoples Hospital of Meizhou City,Meizhou 514031,China 　　 　　[Abstract] ObjectiveObserved GSS internal fixation treatment thoracolumbar spine fractures clinical efficacy. Methods37 thoracolumbar fractures patients were treated by GSS internal fixation system In our hospital. ResultsPatients wounds healed after surgery,X-ray show through the pedicle screws are accurate in surgery and post-operative,fixed position was good,curvature of the spine physical rehabilitation,vertebral reset satisfaction,no broken nails,broken sticks,loose and correct degree of loss. Vertebral body height after surgery was significantly higher than before surgery,post-operative Cobb angle was significantly lower than before surgery,the difference was statistically significant(P0.05). After 12 months to 4 years of follow-up,all patients have a good recovery. ConclusionGSS internal fixation treatment thoracolumbar spine fracture,is simple,safe,damage little reduction effective,less impact on the spine fusion rate,worthy of clinical use. 　　[Key words]GSS; Internal fixation; Thoracolumbar spinal fractures 　　 　　脊柱骨折中以胸腰段骨折多见,易合并有椎体滑脱、脊髓损伤等问题。近年来,随着高处坠落伤及交通伤的不断增加,胸腰段脊柱骨折呈明显上升的趋势。恢复椎体的高度与脊柱生理弯曲,重建脊柱稳定性,以及解除对脊髓神经的压迫是治疗的目的。目前常用的椎弓根内固定器械大多为进口产品,价格昂贵,难以普及应用[1]。GSS是一种安全可靠、操作简便的内固定系统,尤其在恢复脊柱生理前凸和椎管有效减压方面有其独到之处。我院自2004年6月～2008年12月采用GSS内固定系统治疗胸腰椎骨折,取得了良好的疗效,现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　37例患者均为我院收治的胸腰椎段骨折患者,术前均行X线、CT和(或)MRI检查,所有患者均存在不同程度的外伤性椎管狭窄及脊髓损伤;男32例,女5例;年龄19～70岁,平均43.8岁;致伤原因:车祸伤20例,高处坠落伤16例,压砸