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经椎弓根椎体内植骨治疗胸腰椎爆裂骨折
Hits: 2307   Download times: 1162   Received:March 22, 2006    
作者Author单位UnitE-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  
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  
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  
期刊信息:《中国骨伤》2006年19卷,第11期,第676-677页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


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
 
Transpedicular intracorporeal grafting in the treatment of thoracolumbar burst fracture
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.
KEYWORDS:Thoracic vertebrae  Lumbar vertebrae  Fractures  Bone transplantation
 
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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