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Zielke钉系统经椎弓根固定治疗胸腰椎骨折脱位合并脊髓损伤

Hits: 2352 Download times: 1369 Received:May 14, 2000 Revised:August 15, 2000

作者	Author	单位	Unit	E-Mail
冯兴华	FENG Xing hua	五邑中医院,广东江门529000	Wuyi Hospital of TCM,Guangdong Jiangmen,529000
梅汉尧	MEI Han yao	五邑中医院,广东江门529000	Wuyi Hospital of TCM,Guangdong Jiangmen,529000

期刊信息：《中国骨伤》2001年14卷，第11期，第664-666页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的：研究和评估Zielke钉在胸腰椎经后路椎弓根内固定中的价值和作用。

方法：对25例胸腰椎骨折脱位合并脊髓损伤患者采用后路减压、复位,并采用Zielke钉经后路椎弓根固定。

结果：25例均获随访,随访时间05～3年,除3例发生螺钉断裂、松脱、移位现象外,其余病例无并发症。

结论：Zielke钉可使固定节段具有较强的抗多载轴荷的稳定性,并具有创伤小、出血少、操作相对简单安全、固定节段少等优点,特别适用于腰胸椎骨折脱位后路减压和复位需要重建脊柱稳定性的治疗。

[关键词]:骨折胸椎腰椎脊髓损伤固定装置内

Zielke screw fixation through pedicle of vertebral arch for the treatment of thoracolumbar fracture and dislocation with spinal cord injuries

Abstract:

Objective:To study and evaluate the efficacy of Zielke screw in posterior thoracolumbar fixation

Methods:25 cases of thoracolumbar fracture and disloscation with spinal cord injuries were treated by posterior decompression,reduction and Zielke screw fixation.

Results:The average followed up ranged from 6 months to 3 years.3 cases had screw breaking,loosening,displacement and there were no complications in other cases.

Conclusion:Zielke screw is able to ensure good stability and had advantages of simplicity,safety,less fixation segment,especially useful for stabilization of thoracolumbar region after posterior decompression and reduction.

KEYWORDS:Fractures Thoracic vertebae Lumbar vertebrae Spinal cord injuries Fixation devices internal

引用本文，请按以下格式著录参考文献：

中文格式:	冯兴华,梅汉尧.Zielke钉系统经椎弓根固定治疗胸腰椎骨折脱位合并脊髓损伤[J].中国骨伤,2001,14(11):664~666
英文格式:	FENG Xing hua,MEI Han yao.Zielke screw fixation through pedicle of vertebral arch for the treatment of thoracolumbar fracture and dislocation with spinal cord injuries[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(11):664~666

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