| 膨胀式椎弓根钉复位固定结合Wright人工骨植入治疗老年胸腰椎爆裂性骨折 |
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Received:April 01, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 孙斌峰 |
SUN Bin-feng |
昆山市中医医院骨一科，江苏 昆山 215300 |
Department of the First Orthopaedics, Kunshan Hospital of Tradional Chinese Medicine, Kunshan 215300, Jiangsu, China |
beizhongshui1007@163.com |
| 董燚 |
DONG Yi |
昆山市中医医院骨一科，江苏 昆山 215300 |
Department of the First Orthopaedics, Kunshan Hospital of Tradional Chinese Medicine, Kunshan 215300, Jiangsu, China |
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| 吕建元 |
LV Jian-yuan |
昆山市中医医院骨一科，江苏 昆山 215300 |
Department of the First Orthopaedics, Kunshan Hospital of Tradional Chinese Medicine, Kunshan 215300, Jiangsu, China |
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| 顾晓娟 |
GU Xiao-juan |
昆山市中医医院骨一科，江苏 昆山 215300 |
Department of the First Orthopaedics, Kunshan Hospital of Tradional Chinese Medicine, Kunshan 215300, Jiangsu, China |
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| 期刊信息：《中国骨伤》2011年24卷，第7期，第544-546页 |
| DOI：10.3969/j.issn.1003-0034.2011.07.004 |
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目的：评价膨胀式椎弓根钉复位固定结合Wright人工骨植入治疗老年胸腰椎爆裂性骨折的疗效。
方法：2007年3月至2009年7月，收治12例胸腰椎爆裂性骨折患者，男7例，女5例，年龄56～71岁，平均62.3岁。ASIA损伤分级均为E级。根据TLICS评分：6分5例，7分7例。采用膨胀式椎弓根钉系统复位内固定并向病椎注射Wright人工骨，观察病椎术前、术后及随访期内椎体前缘高度及Cobb角变化。
结果：全部病例均获随访，时间10～15个月，平均12个月。随访期内患者伤口愈合好，胸背部疼痛缓解，膨胀式椎弓根钉无松动、断裂。病椎椎体前缘高度由术前的(32.3±9.1)%恢复至术后的(95.3±3.2)%;Cobb角由术前的(31.6±6.8)°恢复至术后(4.5±3.2)°。手术前后的椎体前缘高度和Cobb角均有统计学差异(P<0.01).术后3个月病椎椎体前缘高度(94.7±3.3)%,Cobb角(4.6±3.4)°；末次随访时病椎椎体前缘高度(93.2±3.6)%,Cobb角(5.3±3.7)°，术后3个月、末次随访时的椎体前缘高度和Cobb角与术后比较均无明显差异(P>0.05).
结论：膨胀式椎弓根钉复位固定结合病椎注入Wright人工骨治疗老年胸腰椎爆裂性骨折具有操作简单、恢复快、疗效好等优点，主要适用无明显神经损伤的患者。 |
| [关键词]:脊柱骨折 骨折固定术，内 骨移植 老年人 |
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| Expansive pedicle screws fixation combined with Wright artificial bone implantation for treatment of thoracolumbar burst fracture of the elderly patients |
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Abstract:
Objective: To observe the effects of expansive pedicle screws fixation combined Wright artificial bone implantation in treating thoracolumbar burst fracture of the elderly.
Methods: From March 2007 to July 2009,12 patients with thoracolumbar burst fractures were treated with surgery in the study. There were 7 males and 5 females,with an average age of 62.3 years (from 56 to 71 years). Nerve functions of all patients were ASIA classified grade E. According to TLICS score system,6 points were in 5 cases and 7 points were in 7 cases. Expansive pedicle screw system was used and Wright artificial bone was injected into the injuried vertebrae. The anterior border height of vertebral body and Cobb angle were observed at the preoperation,postoperation and final follow-up.
Results: All patients were followed up from 10 to 15 months with an average of 12 months. Wounds healed well,pain in the chest-back abated,no the expansive pedicle screws loosened or broke down. The anterior border height of vertebral body increased from(32.3±9.1)% preoperatively to (95.3±3.2)% postoperatively;and the Cobb angle decreased from(31.6±6.8)° preoperatively to(4.5±3.2)° postoperatively. There was significant difference between two groups(P<0.01). After 3 months,the anterior border height of vertebral body was(94.7±3.3)% and the Cobb angle was(4.6±3.4)°；at the final follow-up,the anterior border height of vertebral body was (93.2±3.6)% and the Cobb angle was (5.3±3.7)°。 There was no significant difference between the two data(P>0.05).
Conclusion: The combination of expansive pedicle screws fixation and Wright artificial bone injection is a good treatment for thoracolumbar burst fracture,with advantages such as easy operation and good effect,which mainly applied to patients with no obvious nerve injuries. |
| KEYWORDS:Spinal fractures Fracture fixation,internal Bone transplantation Aged |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孙斌峰,董燚,吕建元,顾晓娟.膨胀式椎弓根钉复位固定结合Wright人工骨植入治疗老年胸腰椎爆裂性骨折[J].中国骨伤,2011,24(7):544~546 |
| 英文格式: | SUN Bin-feng,DONG Yi,LV Jian-yuan,GU Xiao-juan.Expansive pedicle screws fixation combined with Wright artificial bone implantation for treatment of thoracolumbar burst fracture of the elderly patients[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(7):544~546 |
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