| 摘要: |
| ［摘要］ 目的 探讨后路三平面椎弓根螺钉内固定系统治疗胸腰椎骨折的可行性和疗效。方法 2008-06～2010-10对26例胸腰椎骨折患者采用后路三平面椎弓根螺钉内固定系统进行复位、固定，观察手术前后椎体高度和Cobb′s角的变化情况及内固定物有无松动等现象。结果 经过3～20个月随访，术后椎体高度、Cobb′s角恢复较佳，无明显丢失，内固定物无松动、断裂现象。结论 后路三平面椎弓根螺钉内固定系统治疗胸腰椎骨折，有利于矫正后凸畸形和维持矫正效果，降低内固定物松动或断裂的发生率,使病人早期活动，有利于康复。 |
| 关键词: 胸腰椎骨折 椎弓根钉 伤椎 固定 |
| DOI：10.3969/j.issn.1674-3806.2012.08.20 |
| 分类号:R 683 |
| 基金项目: |
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| Effect observation of three planes fixation in the treatment of thoracolumbar fractures |
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DU Xin-li,LIU Ke-song,LI Wen-biao,et al.
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Department of Orthopedics,Dingyuan County People′s Hospital,Anhui 233200,China
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| Abstract: |
| ［Abstract］ Objective To explore the feasibility and efficacy of posterior three plane pedicle screws fixation system in the treatment of thoracolumbar fractures.Methods From June 2008 to October 2010, 26 patients with thoracolumbar fractures were treated by posterior three plane pedicle screws fixation system for the reduction and fixation, preoperative and postoperative follow-up radiography was used for observing,the changes of vertebral body height, Cobb′s angle and internal fixator.Results During 3～20 months follow-up, postoperative vertebral body height basically returned to normal, physiological curvature,vertebral body height and Cobb′s angle recovered satisfactorily, without obvious loss.Conclusion Posterior three plane pedicle screws fixation system in the treatment of thoracolumbar fractures is helpful for rectifying protrusion deformity,maintaining correction effect and reducing the incidence of loose and rupture of internal fixator.It can make patient early activity, which is beneficial to the recovery. |
| Key words: Thoracolumbar fractures Pedicle nail Injury vertebrae Fixation |
