经椎弓根椎体内植骨治疗胸腰椎爆裂骨折
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作者Author单位AddressE-Mail
何腾峰 HE Teng-feng 诸暨市人民医院骨三科,浙江诸暨311800 The 3rd Department of Orthopaedics,the People’s Hospital of Zhuji,Zhuji 311800,Zhejiang,China  
郦志文 LI Zhi-wen 诸暨市人民医院骨三科,浙江诸暨311800 The 3rd Department of Orthopaedics,the People’s Hospital of Zhuji,Zhuji 311800,Zhejiang,China  
沈华松 SHEN Hua-song 诸暨市人民医院骨三科,浙江诸暨311800 The 3rd Department of Orthopaedics,the People’s Hospital of Zhuji,Zhuji 311800,Zhejiang,China  
期刊信息:《中国骨伤》2006年,第19卷,第11期,第676-677页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:探讨经椎弓根椎体内植骨治疗胸腰椎爆裂骨折的临床疗效。

方法:治疗组新鲜爆裂骨折16例,男11例,女5例;年龄19~59岁,平均43岁;经椎弓根椎体内植骨,结合短节段椎弓根螺钉系统固定治疗。对照组胸腰椎新鲜爆裂骨折36例,男25例,女11例;年龄21~63岁,平均41岁;单纯用短节段椎弓根螺钉系统固定治疗。两组均于术前、术后及术后1年行X线检查,测量矢状面指数和椎体前缘压缩百分比,并对

结果:行统计学分析。

结果:治疗组在纠正局部后凸(矢状面指数),恢复椎体前缘高度(椎体前缘压缩百分比)方面均优于对照组。

结论:短节段椎弓根螺钉固定和经椎弓根椎体内植骨治疗胸腰椎骨折,可重建前、中柱的稳定性,有效防止纠正度的丢失。
【关键词】胸椎  腰椎  骨折  骨移植
 
Transpedicular intracorporeal grafting in the treatment of thoracolumbar burst fracture
ABSTRACT  

Objective:To evaluate the curative effect of pedicle of vertebral arch intervertebral grafting in the treatment of thoracolumbar burst fracture.

Methods:Sixteen patients (11 male and 5 female;the average age of 43 years ranging from 19 to 59 years) were treated by short-segment instrumentation with pedicle of vertebral arch intervertebral grafting and 36 patients (25 male and 11 female;the average age of 41 years ranging from 21 to 63 years) were treated by short-segment fixation alone.Radiographic evaluation (sagittal index,percentage of anterior body height compression) was made in preoperation,postoperation and one year after operation.The outcomes were analyzed statistically.

Results:There was a significant difference between the two groups in the radiographic outcomes of sagittal index and percentage of anterior body compression.

Conclusion:Short-segment instrumentation with transpedicular intracorporeal grafting in the treatment of thoracolumbar burst fracture can reconstruct the stability of anterior and middle column and effctively prevent the loss of correction.
KEY WORDS  Thoracic vertebrae  Lumbar vertebrae  Fractures  Bone transplantation
 
引用本文,请按以下格式著录参考文献:
中文格式:何腾峰,郦志文,沈华松.经椎弓根椎体内植骨治疗胸腰椎爆裂骨折[J].中国骨伤,2006,19(11):676~677
英文格式:HE Teng-feng,LI Zhi-wen,SHEN Hua-song.Transpedicular intracorporeal grafting in the treatment of thoracolumbar burst fracture[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(11):676~677
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