| 不稳定性胸腰椎骨折早期处理 |
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Received:April 22, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 陈富强 |
CHEN Fu-qiang |
上海市第二人民医院骨科，上海 200011 |
Department of Orthopaedics,Shanghai Second People's Hospital, Shanghai 200011,China |
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| 沈珊安 |
SHEN Shan-an |
上海市第二人民医院骨科，上海 200011 |
Department of Orthopaedics,Shanghai Second People's Hospital, Shanghai 200011,China |
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| 王方 |
WANG Fang |
上海市第二人民医院骨科，上海 200011 |
Department of Orthopaedics,Shanghai Second People's Hospital, Shanghai 200011,China |
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| 陈志坚 |
CHEN Zhi-jian |
上海市第二人民医院骨科，上海 200011 |
Department of Orthopaedics,Shanghai Second People's Hospital, Shanghai 200011,China |
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| 葛旻 |
GE Wen |
上海市第二人民医院骨科，上海 200011 |
Department of Orthopaedics,Shanghai Second People's Hospital, Shanghai 200011,China |
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| 马一翔 |
MA Yi-xiang |
上海市第二人民医院骨科，上海 200011 |
Department of Orthopaedics,Shanghai Second People's Hospital, Shanghai 200011,China |
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| 赵帅 |
ZHAO Shuai |
上海市第二人民医院骨科，上海 200011 |
Department of Orthopaedics,Shanghai Second People's Hospital, Shanghai 200011,China |
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| 期刊信息：《中国骨伤》2008年21卷，第8期，第593-595页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨早期胸腰椎不稳定性骨折使用AF钉治疗的疗效及可行性。
方法：2002年1月至2006年6月32例T11-L3不稳定性骨折，其中女21例，男11例；年龄58～72岁，平均62岁。采用AF钉固定加椎板、横突和椎体内植骨。术前后均行X线和CT检查。观察脊柱稳定性、植骨融合以及脊柱高度、椎前骨片凸出恢复情况。
结果：术后平均随访13个月，所有32例AF钉均未出现内固定失败或疼痛需行内固定折除。术后3个月开始骨折植骨融合。X线片显示椎体后突角从22°恢复到8.5°，前缘高度从50%恢复到86%,后缘高度从94%恢复到98%.CT显示6例骨片凸入椎管内，术后骨折完全恢复。
结论：早期使用AF钉治疗不稳定胸腰椎骨折是一种简捷有效的方法，能提供早期坚强固定，椎体良好的三柱稳定，植骨是AF钉力求成功的关键要素。 |
| [关键词]:胸椎 腰椎 骨折 骨折固定术，内 |
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| Early treatment for the unstable fracture of the thoracolumbar |
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Abstract:
Objective: To research the efficacy and feasibility for unstable fracture of thoracolumbar with AF spine internal fixation device.
Methods: Thirty-two patients with unstable fractures of T11-L3 were treated with AF spine internal fixation device and autograft between vertebral lamina vertebral body transverse process from January 2002 to June 2006. There were 21 female and 11 male,aging from 58 to72 years with a mean of 62 years. All these patients were examined with x-ray and CT preoperative and postoperative respectively. They were followed-up thirteen months averagely,observing the stability of spinal column,bone grafting fusion,the height of vertebra and recovery of anterior bone fragment herniation.
Results: All these AF spine internal fixation devices treated for the unstable fractures of thoracolumbar had not removed because of internal fixation failure or pain. Fracture healing and grafting fusion appeared after operation three months averagely. X-rays revealed post-protrusion angle were recovered from 22° to 8.5°，the heights of anterior were recovered from 50% to 86%,the angle of posterior were recovered from 94% to 98%. The postoperative CT scan showed that six cases with herniation to canal gained a completely recoveries.
Conclusion: AF spine internal fixation device used in early stage for unstable fracture of thoracolumbar is a simple and effective method. It has advantages such as providing early substantial fixation,maintaining a well three column stability. Bone grafting is a key factor in this operative technique. |
| KEYWORDS:Thoracic vertebrae Lumbar vertebrae Fractures 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: | 陈富强,沈珊安,王方,陈志坚,葛旻,马一翔,赵帅.不稳定性胸腰椎骨折早期处理[J].中国骨伤,2008,21(8):593~595 |
| 英文格式: | CHEN Fu-qiang,SHEN Shan-an,WANG Fang,CHEN Zhi-jian,GE Wen,MA Yi-xiang,ZHAO Shuai.Early treatment for the unstable fracture of the thoracolumbar[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(8):593~595 |
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