后路椎体次全切钛网植入内固定治疗胸腰椎爆裂骨折.pdfVIP

重庆医科大学硕士研究生学位论文 POSTERIOR SUBTOTAL VERTEBRAECTOMY,TITANIUM CAGE RECONSTRUCTION AND INTERNAL FIXATION OF SPINE IN THE TREATMENT OF THORACOLUMBAR BURST FRACTURES ABSTRACT Objective To evaluate the efficacy and prognosis of treating thoracolumbar burst fractures by subtotal vertebreectomy, titanium cage reconstruction and fixation with pedicle screw through posterior approach. Methods From June 2010 to June 2014, 35 patients (21 males and 14 females) with thoracolumbar burst fractures who were sleceted by thoracolumbar injury classification and severity score system and loading sharing classification system, were treated by posterior subtotal resection of vertebral body with implantation of titaium cage and distraction reduction fixation at one stage. Neurological status at preoperative, postoperative and final follow-up were reviewed by ASIA scoring system. The distraction, redution and were reviewed by radiologically. Results All of operation procedures were carried out successfully. Cerebrosinal fluid leakage occurred in 6 patients, the others had no postoperative complications. All patients were followed up with an average 4 万方数据 重庆医科大学硕士研究生学位论文 of 15.3±6.8 months. Nervous function improved in different degree in all patients excpet 5 patients who had the nervous function of grade A. Satisfactory reduction were observed radiologically postoperative. All patients had complete bony fusion at final follow-up without pseudathrosis.