经椎弓根椎体内植骨治疗胸腰椎爆裂骨折 |
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投稿时间:2006-03-22
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作者 | Author | 单位 | Address | E-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 |
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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 |
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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 |
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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: |
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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 |
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Transpedicular intracorporeal grafting in the treatment of thoracolumbar burst fracture |
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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 |
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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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