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弧轨自锁弓根螺钉内固定系统治疗胸腰椎骨折脱位的疗效分析
Hits: 3239   Download times: 2046   Received:October 11, 2004    
作者Author单位UnitE-Mail
鞠传广 JU Chuan-guang 文登整骨医院脊柱脊髓科 山东文登264400 Wendeng Orthopaedics Hospital,Shandong Wendeng,264400,China juchuanguang@ 163.com 
谭远超 TAN Yuan-chao 文登整骨医院脊柱脊髓科 山东文登264400 Wendeng Orthopaedics Hospital,Shandong Wendeng,264400,China  
张恩忠 ZHANG En-zhong 文登整骨医院脊柱脊髓科 山东文登264400 Wendeng Orthopaedics Hospital,Shandong Wendeng,264400,China  
邵诗泽 SHAO Shi-ze 文登整骨医院脊柱脊髓科 山东文登264400 Wendeng Orthopaedics Hospital,Shandong Wendeng,264400,China  
期刊信息:《中国骨伤》2005年18卷,第5期,第266-267页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:评价弧轨自锁弓根螺钉内固定系统(ALPF)治疗胸腰椎骨折脱位的临床效果。

方法:胸腰椎骨折脱位387例,男239例,年龄19~71岁,平均(45.6+13.8)岁;女148例,年龄18~65岁,平均(45.6±8.2)岁。采用ALPF技术治疗,并对其进行疗效分析。

结果:367例获得随访,随访时间6~64个月。患者神经功能、脊柱活动、腰背痛和下肢痛的改善率分别为80.4%、65.9%、92.1%和87.4%,术前术后椎体前、后缘高度恢复均明显(P<0.01,P<0.05),后凸角得到满意矫正(P<0.01)。并发症43例,其中术中并发症12例,发生率为3.1%;术后并发症31例,发生率为8.4%。

结论:ALPF椎弓根固定技术治疗胸腰椎骨折脱位疗效确定,并发症少。
[关键词]:胸腰椎骨折  脱位  骨折固定术,内
 
Analysis of the effect of arc-track self-locking pedicle fixation system(ALPF)in thoracolumbar spinal fracture-dislocation
Abstract:

Objective:To evaluate the clinical results of arc-track self-locking pedicle fixation system(ALPF)for the treatment of thoraolumbar spinal fracture-dislocation.

Methods:From May 1997 to January 2003,387 patients of thoracolumbar spinal fracture-dislocation underwent ALPF (male,239 cases;female,148 cases).The average age of the male was(45.6+13.8) years (range from 19 to 71 years).The average age of the female was (45.6±8.2)years (range from 19 to 71 years).The results were evaluated.

Results:Three hundreds and sixty-seven patients were followed up for 6~64 months.The amelioration of patients' nerve function,spinal motion,low back pain and leg pain was 80.4%,65.9%,92.1% and 87.4% respectively.The height of anterior and posterior border after operation were improved greatly than that before operation(P<0.01,P<0.05).The X-ray films showed that the angle of kyphosis was also improved significantly(P<0.01).Complications occurred in 43 patients,among whom 12 cases occurred during operation with the incidence of 3.1%,while 31 cases occurred after operation with the incidence of 8.4%.

Conclusion:The clinical results revealed that ALPF for the treatment of thoracolumbar spinal fracture-dislocation is satisfactory,with few complications.
 
引用本文,请按以下格式著录参考文献:
中文格式:鞠传广,谭远超,张恩忠,邵诗泽.弧轨自锁弓根螺钉内固定系统治疗胸腰椎骨折脱位的疗效分析[J].中国骨伤,2005,18(5):266~267
英文格式:JU Chuan-guang,TAN Yuan-chao,ZHANG En-zhong,SHAO Shi-ze.Analysis of the effect of arc-track self-locking pedicle fixation system(ALPF)in thoracolumbar spinal fracture-dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(5):266~267
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