| 原位弯棒复位治疗下腰椎爆裂性骨折 |
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Received:October 24, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 徐国健 |
XU Guo-jian |
绍兴市人民医院骨科, 浙江 绍兴 312000 |
Department of Orthopaedics, People's Hospital of Shaoxing City, Shaoxing 312000, Zhejiang, China |
doctor0575@hotmail.com |
| 翁东 |
WENG Dong |
绍兴市人民医院骨科, 浙江 绍兴 312000 |
Department of Orthopaedics, People's Hospital of Shaoxing City, Shaoxing 312000, Zhejiang, China |
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| 钱宇 |
QIAN Yu |
绍兴市人民医院骨科, 浙江 绍兴 312000 |
Department of Orthopaedics, People's Hospital of Shaoxing City, Shaoxing 312000, Zhejiang, China |
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| 金柏军 |
JIN Bai-jun |
绍兴市人民医院骨科, 浙江 绍兴 312000 |
Department of Orthopaedics, People's Hospital of Shaoxing City, Shaoxing 312000, Zhejiang, China |
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| 张军 |
ZHANG Jun |
绍兴市人民医院骨科, 浙江 绍兴 312000 |
Department of Orthopaedics, People's Hospital of Shaoxing City, Shaoxing 312000, Zhejiang, China |
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| 赵晓峰 |
ZHAO Xiao-feng |
绍兴市人民医院骨科, 浙江 绍兴 312000 |
Department of Orthopaedics, People's Hospital of Shaoxing City, Shaoxing 312000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2011年24卷，第4期，第308-310页 |
| DOI：10.3969/j.issn.1003-0034.2011.04.012 |
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目的：评价后路原位弯棒复位治疗下腰椎爆裂性骨折的临床效果。
方法：对2007年3月至2009年6月采用后路原位弯棒复位、经椎弓根螺钉内固定治疗的21例下腰椎爆裂性骨折进行回顾性分析, 其中男16例, 女5例；年龄25～59岁, 平均37.9岁。损伤节段：L3 11例, L4 6例, L5 4例。神经功能损伤按ASIA分级：A级2例, B级2例, C级10例, D级4例, E级3例。术后观察影像学指标(伤椎前高残余量百分比、矢状位指数、椎管占位率)及神经功能的变化。
结果：21例均获随访, 时间12～39个月, 平均16.5个月。术后影像显示：伤椎(椎体)前高残余百分比由术前平均57.9%恢复至94.1%(P<0.01), 伤段矢状位指数由术前平均29.1°恢复至0.24°(P<0.01), 椎管占位率由术前平均49.6%恢复至13.4%(P<0.01).神经功能也较术前有所改善(A级2例, B级0例, C级0例, D级4例, E级15例).
结论：下腰椎爆裂性骨折采用原位弯棒复位经椎弓根内固定可以实现三柱在三维上的同时复位, 达到满意的复位效果, 重建矢状位的平衡稳定。 |
| [关键词]:腰椎 骨折 骨折固定术，内 |
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| Technique of bending rod reduction in situ for low lumbar burst fracture |
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Abstract:
Objective: To evaluate the efficacy and the feasibility of bending rod reduction in situ technique in treating low lumbar burst fracture.
Methods: From March 2007 to June 2009, 21 patients with low lumbar burst fracture were retrospectively analyzed, 11 cases were in L3, 6 in L4 and 4 in L5. There were 16 males and 5 females, ranging in age from 25 to 59 year with an average of 37.9 years. According to ASIA classification, nerve function was level A in 2 cases, level B in 2, level C in 10, level D in 4 and level E in 3. Pedicle screws were implanted and bending rod reduction in situ technique was applied through posterior approach. Radiographic and neurological scores were compared before and after operation.
Results: All patients were followed up from 12 to 39 months with an average of 16.5 months. Radiographic examinations demonstrated that anterior height of fractured vertebral body was from 57.9% preoperatively to 94.1% postoperatively(P<0.01); sagittal index was from 29.1°preoperatively to 0.24°postoperatively(P<0.01). Spinal canal occupation ratio was from 49.6% preoperatively to 13.4% postoperatively (P<0.01). Nerve function was level A in 2 cases, level B in 0, level C in 0, level D in 4 and level E in 15.
Conclusion: Bending rod in situ technique could achieve 3-column reduction in 3-dimentionally at the same time, and reconstruct the stability of low lumbar. |
| KEYWORDS: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: | 徐国健,翁东,钱宇,金柏军,张军,赵晓峰.原位弯棒复位治疗下腰椎爆裂性骨折[J].中国骨伤,2011,24(4):308~310 |
| 英文格式: | XU Guo-jian,WENG Dong,QIAN Yu,JIN Bai-jun,ZHANG Jun,ZHAO Xiao-feng.Technique of bending rod reduction in situ for low lumbar burst fracture[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(4):308~310 |
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