| DenisⅡ型骶骨骨折伴神经损伤早期手术疗效分析 |
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Received:January 15, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 蒋伟宇 |
JIANG Wei-yu |
宁波第六医院脊柱外科，浙江 宁波 315040 |
Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
weiyujiang1210@163.com |
| 周龙 |
ZHOU Long |
宁波第六医院脊柱外科，浙江 宁波 315040 |
Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 赵刘军 |
ZHAO Liu-jun |
宁波第六医院脊柱外科，浙江 宁波 315040 |
Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 马维虎 |
MA Wei-hu |
宁波第六医院脊柱外科，浙江 宁波 315040 |
Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 徐荣明 |
XU Rong-ming |
宁波第六医院脊柱外科，浙江 宁波 315040 |
Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 期刊信息：《中国骨伤》2011年24卷，第6期，第493-495页 |
| DOI：10.3969/j.issn.1003-0034.2011.06.016 |
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目的：探讨DenisⅡ型骶骨骨折合并神经损伤的早期手术治疗的疗效。
方法：2008年3月至2010年3月收治12例DenisⅡ型骶骨骨折伴神经损伤，男8例，女4例；年龄28～54岁，平均40岁。所有患者经详细体格检查及X线片、CT、MRI扫描等确诊，依据影像学资料进行Denis分型均为Ⅱ型。伤后6～14 d手术，平均9 d.8例骶前孔明显变形，责任骨块侵入骶孔压迫神经根，行后路骶神经减压内固定术；4例骶前孔轻度变形，无明显责任骨块侵入骶孔，行单纯切开复位内固定术。
结果：12例均获随访，时间6个月～2年，骨折均Ⅰ期愈合，其中11例神经损伤患者均有不同程度恢复，Gibbons骶神经损害评分术前平均(2.67±0.49)分，术后平均(1.50±0.67)分，术后评分低于术前。
结论：Denis Ⅱ型骶骨骨折伴神经损伤，全身情况许可应尽早手术治疗，可取得满意疗效。 |
| [关键词]:骶骨 骨折 骨折固定术，内 |
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| Study on early stage operation for DenisⅡsacral fracture accompanied by neurological damage |
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Abstract:
Objective: To study therapeutic effects of early stage operation for typeⅡsacral fracture accompanied by neurological damage.
Methods: Twelve patients with typeⅡsacral fracture accompanied by neurological damage were reviewed in the study from March 2008 to March 2010,including 8 males and 4 females. Final diagnosis was given according to the evaluation of physical examination,X-ray,CT and MRI. Operations were performed 6 to 14 days after injury,averaged 9 days. According to Denis classification of sacral fracture,12 patients were TypeⅡ。 Eight patients suffered from severe anterior sacral foramen transformation with invasion of fragments on nerve root were treated with decompression,open reduction and internal fixation. Other 4 patients were treated with open reduction and internal fixation.
Results: During the following-up period,ranging from 6 to 24 months,all the patients attained bony union and 11 patients got nerve function recovery to different degrees. According to criterion of Gibbons,the average preoperative score was(1.50±0.67);the average postoperative score was(2.67±0.49);there were statistically significant differences in the above index between preoperation and postoperation(P<0.05).
Conclusion: Early stage operation for typeⅡsacral fracture accompanied by neurological damage usually achieves satisfactory results. |
| KEYWORDS:Sacrum 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: | 蒋伟宇,周龙,赵刘军,马维虎,徐荣明.DenisⅡ型骶骨骨折伴神经损伤早期手术疗效分析[J].中国骨伤,2011,24(6):493~495 |
| 英文格式: | JIANG Wei-yu,ZHOU Long,ZHAO Liu-jun,MA Wei-hu,XU Rong-ming.Study on early stage operation for DenisⅡsacral fracture accompanied by neurological damage[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(6):493~495 |
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