| 保留后韧带结构的AF系统治疗胸腰段爆裂骨折 |
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Received:September 02, 2002
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| 期刊信息：《中国骨伤》2003年16卷，第2期，第71-73页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:广东省卫生厅医学科研基金课题(编号:A2002756) |
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目的：探讨一种治疗胸腰段爆裂骨折伴截瘫的方法,使术后脊柱稳定性较好。
方法：用AF系统治疗胸腰段爆裂骨折54例,手术时保留脊柱后韧带结构。统计术前术后伤椎前后缘高度、Cobb角资料。
结果:术后伤椎前缘高度恢复至(95.1±8.5)%,后缘高度恢复至(98.5±7.2)%,Cobb角恢复至(4.8±2.5)°。各项指标与术前比较差异有显著性(P<0.01).术后随访0.5～3.5年,神经功能按Frankel评定：46例提高1～3级。
结论：后韧带结构为坚韧有弹性的骨-韧带条,在维护脊柱稳定的过程中,有着无法替代的价值。 |
| [关键词]:脊柱骨折 骨折固定术,内 |
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| Treatment of thoracolumbar bursting fracture using AF system with retained posterior longitudinal ligament |
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Abstract:
Objective:To explore a method for treatment of thoracolubar bursting fracture with paraplegia,with better stability of the spine after operation
Methods:54 cases of thoracolumbar bursting fracture were treated with AF system and the posterior complex structures of spine were retained at the operation.The anterior and posterior height of the injuried vertebrae and Cobb's angle were measured and analysed preoperatively and postoperatively.
Results:After operation,the anterior and posterior height of vertebrae had been restored to (95.1±8.5)%,(98.5±7.2)% respectively.Cobb's angle had been corrected to (4.8±2.5)°.There were significant difference between the preoperative and postoperative data(P<0.01) at the 0.5 to 3.5 years follow-up.The neuro-function were classified according to Frankel grade,and 1～3 grade improvement was found in 46 cases.
Conclusion:The posterior complex structures is the tough and elastic strip of bone-ligament,which can protect the stability of the spine.The surgical decompression procedure of spinal canal ought to retain the structures,which showed better curative effect than only using AF system. |
| KEYWORDS:Spinal fracture Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李文基,潘维文.保留后韧带结构的AF系统治疗胸腰段爆裂骨折[J].中国骨伤,2003,16(2):71~73 |
| 英文格式: | LI Wenji,PAN Weiwen.Treatment of thoracolumbar bursting fracture using AF system with retained posterior longitudinal ligament[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(2):71~73 |
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