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复位固定系统治疗胸腰椎爆裂型骨折
Hits: 1902   Download times: 1230   Received:December 01, 1997  Revised:April 20, 1998  
作者Author单位UnitE-Mail
吕建华 Lü Jianhua 浙江省杭州市中医院,164300 Hangzhou Hospital of Traditional Chinese Medicine 310007  
周辉 Zhou Hui 浙江省杭州市中医院,164300 Hangzhou Hospital of Traditional Chinese Medicine 310007  
项东 Xiang Dong 浙江省杭州市中医院,164300 Hangzhou Hospital of Traditional Chinese Medicine 310007  
成羿 Lü Jianhua 浙江省杭州市中医院,164300 Hangzhou Hospital of Traditional Chinese Medicine 310007  
韩勇 Zhou Hui 浙江省杭州市中医院,164300 Hangzhou Hospital of Traditional Chinese Medicine 310007  
何永江 Xiang Dong 浙江省杭州市中医院,164300 Hangzhou Hospital of Traditional Chinese Medicine 310007  
期刊信息:《中国骨伤》1999年12卷,第1期,第3-5页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:总结复位固定系统(ReductionFixationSystem,RF)治疗胸腰椎爆裂型骨折的临床经验。

方法:对15例胸腰椎爆裂型骨折伴不全截瘫病人,采用RF系统治疗。对其中2例伴有椎间盘中央型突出的病人,采用“桥式潜行减压”,行双侧半椎板切除术。

结果:经过5~23个月,平均9个月的随访,12例病人椎体压缩高度恢复到90%以上,骨折在3月内全部愈合,神经功能恢复好转率达到93.3%。

结论:RF通过轴向撑开, 使骨折达到良好的复位, 变窄的椎管, 椎间孔管径得到改善,对脊髓及神经根起到减压作用。
[关键词]:胸腰椎骨折  复位固定系统
 
The Treatment of Thoraco lumbar Bursting Fractures with Reduction Fixation System
Abstract:

Objective:To sum up the clinical experience of the treatment of thoraco lumbar bursting fractures with reduction fixation system (RF system).

Methods:Fifteen patients with thoraco lumbar bursting fractures and incomplete paraplegia were treated with RF system.In these cases,two cases associated with central herniation of intervertebral discs were treated with bilateral hemilaminectomy,removal of the herniation,and RF system.

Results: Passing through following up for 5 23 months (9 months in average),the fractures in all cases were healed within 3 months,the height of the compressed vertebral bodies in 12 cases was recovered to 90% of that of the normal one,and the recovery improvement rate was reached 93 3%.

Conclusion: By bracing of RF systhm,the fractures were reduced well,the diameters of the narrowed vertebral canal and intervertebral foramen were improved,and the decompression of spinal cord and nerve roots were achieved.
KEYWORDS:Thoracolumbar vertebrae fracture  Reduction fixation system
 
引用本文,请按以下格式著录参考文献:
中文格式:吕建华,周辉,项东,成羿,韩勇,何永江.复位固定系统治疗胸腰椎爆裂型骨折[J].中国骨伤,1999,12(1):3~5
英文格式:Lü Jianhua,Zhou Hui,Xiang Dong,Lü Jianhua,Zhou Hui,Xiang Dong.The Treatment of Thoraco lumbar Bursting Fractures with Reduction Fixation System[J].zhongguo gu shang / China J Orthop Trauma ,1999,12(1):3~5
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