胸腰段椎体骨折GSS内固定术经锥弓根等植骨研究.docVIP

胸腰段椎体骨折GSS内固定术经锥弓根等植骨研究 　　【摘要】 目的：对胸腰段椎体骨折GSS内固定术经锥弓根等植骨的研究。方法：回顾性分析本院2011年2月-2014年2月采用GSS椎弓根钉棒系统内固定加经椎弓椎椎体内植骨及后外侧植骨融合术治疗的60例胸腰椎骨折患者的临床资料。结果：术后随访，伤口均一期愈合，X线片显示脊柱序列和生理曲度基本恢复正常，椎体高度恢复到正常椎体高度的78%～98%，复位率达到98%，疼痛症状及功能改善96%以上，无脊髓及神经根损伤加重并发症，无螺钉棒松动、断裂，无矫形丢失无脊髓及神经根损伤加重并发症。结论：对胸腰段椎体骨折采用手术治疗时采用经椎弓根植骨加椎板后路植骨稳定前中后柱椎体，以防止断钉断棒、椎弓根钉松动，同时防止椎体高度丢失，减轻患者的痛苦，是治疗胸腰段椎体骨折胸腰段椎体骨折总体的发展趋势。 　　【关键词】 胸腰段椎体骨折； GSS内固定； 椎弓根及椎板植骨 　　Study of Bone Grafting like Cone Pedicle for Thoracic and Lumbar Fracture in GSS Internal Fixation/TANG Kai.//Medical Innovation of China，2015，12（15）：108-110 　　【Abstract】 Objective：To research on bone grafting like cone pedicle for thoracic and lumbar fracture in GSS internal fixation.Method：From February 2011 to February 2014，60 patients with thoracic and lumbar fracture in our hospital were given the fusion treatment of GSS internal fixation of pedicle screw-rod system， bone grafting in vertebral arch and posterolateral bone grafting.Result：After the operation， these patients were given postoperative follow-up.It was found that incision of 60 cases was primary healing.The X-ray showed that their spinal sequence and physiological curvature largely returned to normal.The height of vertebral body returned to 78%- 98% of the normal height.The reset rate was as high as 98%.Improvement in pain symptom and function was over 96%.No loose or fractured screw rods and no complications of spinal cord and nerve root injury were found.Conclusion：After the research， it is found that for the operation of thoracic and lumbar fracture， the application of vertebral arch bone grafting and vertebral plate posterior bone grafting， which stabilized the front， middle and posterior column of vertebral body， can avoid fractured screw as well as rod and loose pedicle screw.At the same time， it can avoid the vertebral body lose its height and also lighten the pain of the patients.Therefore， it will be the main trend of treatment of thoracic and lumbar fracture. 　　【Key words】 Thoracic and l