| 前路减压重建治疗前中柱损伤的胸腰椎爆裂骨折 |
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Received:April 06, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 赵刘军 |
ZHAO Liu-jun |
宁波市第六医院脊柱外科，浙江 宁波 315040 |
Department of Orthopaedics,the 6th People's Hospital of Ningbo,Ningbo 315000,Zhejiang,China |
zhaoliujun555@sina.com |
| 柴波 |
CHAI Bo |
宁波市第六医院脊柱外科，浙江 宁波 315040 |
Department of Orthopaedics,the 6th People's Hospital of Ningbo,Ningbo 315000,Zhejiang,China |
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| 徐荣明 |
XU Rong-ming |
宁波市第六医院脊柱外科，浙江 宁波 315040 |
Department of Orthopaedics,the 6th People's Hospital of Ningbo,Ningbo 315000,Zhejiang,China |
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| 马维虎 |
MA Wei-hu |
宁波市第六医院脊柱外科，浙江 宁波 315040 |
Department of Orthopaedics,the 6th People's Hospital of Ningbo,Ningbo 315000,Zhejiang,China |
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| 阮永平 |
RUAN Yong-ping |
宁波市第六医院脊柱外科，浙江 宁波 315040 |
Department of Orthopaedics,the 6th People's Hospital of Ningbo,Ningbo 315000,Zhejiang,China |
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| 应启迩 |
YING Qi-er |
宁波市第六医院脊柱外科，浙江 宁波 315040 |
Department of Orthopaedics,the 6th People's Hospital of Ningbo,Ningbo 315000,Zhejiang,China |
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| 曹进 |
CAO Jin |
宁波市第六医院脊柱外科，浙江 宁波 315040 |
Department of Orthopaedics,the 6th People's Hospital of Ningbo,Ningbo 315000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第1期，第10-12页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨前路减压重建治疗前中柱损伤的胸腰椎爆裂骨折，评估该方法的术中术后情况。
方法：2001年5月至2006年10月运用前路减压重建治疗前中柱损伤的胸腰椎爆裂骨折34例，男22例，女12 例； 年龄20～63岁，平均40.5岁。损伤节段：T10 1例，T11 2例，T12 9 例，L1 13 例，L2 7 例(1例伴有L1轻度压缩骨折),L3 2例。神经功能按Frankel 分级：A 级1例，B 级9例，C 级12例，D 级11 例，E 级1 例。术前Cobb 角21°～44°，平均27.0°± 6.5°。统计手术时间、出血量，并随访术后功能恢复情况。
结果：34例患者均获得随访，平均随访24.5个月 (3～60个月).手术时间平均(178±65) min,术中出血量(1 750±950) ml,自体血回输量(950±750) ml.术后1例患者出现左侧血气胸，行胸腔闭式引流后愈合。1例术后出现乳糜漏，经引流换药后痊愈。1例患者主诉取髂骨区轻微疼痛。术后椎体高度恢复满意，矢状面畸形矫正，Cobb 角矫正至3.0°±1.5°。随访中无明显的后凸角和高度丢失。无内固定松动移位。骨折全部获得融合，无假关节形成。
结论：运用前路减压重建治疗前中柱损伤的胸腰椎爆裂骨折，能够Ⅰ期直视下完成减压重建，矫正矢状面畸形，疗效确切。术中运用自体血回输可以减少输血量，有效地保障手术顺利完成。 |
| [关键词]:胸腰椎 骨折 减压 内固定 |
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| Anterior decompression and reconstruction for the treatment of burst thoracolumbar fractures with anterior and median column injury |
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Abstract:
Objective: To explore the treatment of anterior decompression and reconstruction for burst thoracolumbar fractures with anterior and median column injury and to evaluate the therapeutic effect.
Methods: Thirty-four patients suffering from burst thoracolumbar fractures with anterior and median column injury(male 22 and female 12,aged from 20 to 63,with an average of 40.5 years) were treated by anterior decompression and reconstruction from May 2001 to October 2006. Operative duration, bleeding and the neurological function of patients were recorded.
Results: All the patients were followed up from 3 to 60 months and the average time was 24.5 months. Operative duration was(178±65) min. The volume of bleeding was(1 750±950) ml and the volume of autotransfusion was(950±750)ml. Cobb angle were corrected from 27.0°±6.5°to 3.0°±1.5°。 All fractures obtained fusion. No failure of internal fixation and formation of false joint happened.
Conclusion: The technique of anterior decompression and reconstruction for burst thoracolumbar fractures with anterior and median column injury is effective,with which the decompression and reconstruction of the spinal stability can be performed under direct vision at one stage, and the sagittal alignment can be corrected at the same time. The procedure will be more smoothly by the application of the intraoperative autotransfusion. |
| KEYWORDS:Thoracolumbar vertebrae Fractures Decompression Internal fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵刘军,柴波,徐荣明,马维虎,阮永平,应启迩,曹进.前路减压重建治疗前中柱损伤的胸腰椎爆裂骨折[J].中国骨伤,2008,21(1):10~12 |
| 英文格式: | ZHAO Liu-jun,CHAI Bo,XU Rong-ming,MA Wei-hu,RUAN Yong-ping,YING Qi-er,CAO Jin.Anterior decompression and reconstruction for the treatment of burst thoracolumbar fractures with anterior and median column injury[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(1):10~12 |
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