[1]周方　 田耘　 陈仲强　 刘忠军.短节段经椎弓根固定治疗胸腰椎不稳定骨折-AO通用脊柱内固定系统的应用[J].中国微创外科杂志,2003,03(2):136-146.
　Zhou Fang,Tian Yun,Chen Zhong Qian,et al.Short-segment transpedicular instrumentation and fusion for thoracic and lumbar spine unstable fractures: A retrospective study on the AO Universal Spine System[J].Chinese Journal of Minimally Invasive Surgery,2003,03(2):136-146.
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短节段经椎弓根固定治疗胸腰椎不稳定骨折-AO通用脊柱内固定系统的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
03
期数:
2003年2期
页码:
136-146
栏目:
出版日期:
2003-02-28

文章信息/Info

Title:
Short-segment transpedicular instrumentation and fusion for thoracic and lumbar spine unstable fractures: A retrospective study on the AO Universal Spine System
作者:
周方　 田耘　 陈仲强　 刘忠军
北京大学第三医院骨科,北京,100083
Author(s):
Zhou Fang;  Tian Yun;  Chen Zhong Qian;  et al.
Department ofOrthopedics, Peking University Third Hospital, Beijing100083, China
关键词:
胸椎骨折 腰椎骨折 经椎弓根内固定 短节段
Keywords:
Thoracic spine fracture　Lumbar spine fracture　Transpedicular fixation　Short-segment
分类号:
R683.2
文献标志码:
A
摘要:
目的总结分析短节段经椎弓根固定在胸腰椎不稳定骨折中的作用. 方法对121例经短节段椎弓根固定治疗的新鲜胸腰椎骨折病人的临床和影像学资料进行回顾性分析研究. 结果随访104例,时间12月～72月,平均31.3月.术后神经功能除3例完全损伤没有改善外,余101例(97.1%)有至少一级以上的改善;术后椎体高度基本恢复正常(术前压缩平均58.3%,术后平均3.2%,随访时平均丢失2.1%);术后后突角度基本纠正(术前平均29°,术后平均3.4°),并在随访时维持在平均丢失3.4°. 结论短节段椎弓根内固定可有效达到对胸腰椎不稳定骨折良好复位、坚固的固定,间接椎管内减压、维持脊柱的稳定性.通用脊柱骨折内固定系统(Universal spine system,USS)可以很好地达到短节段固定胸腰椎骨折的目的.
Abstract:
Objective　To evaluate the role of the short-segmenttranspedicular instrumentation and fusion in the treatment of thoracic and lumbar spine unstable fractures.　Methods　We reviewed 121 patients of thoracic and lumbar vertebral fractures treated by short-seg- ment transpedicular instrumentation (attachment of one level above the fracture to one level belowthe fracture) by using an AOUniversal Spine System (USS), plus posterolateral fusion by using autogenous iliac crest bone graft.　Results　Out of the 121 cases, 104 had been followed clinically, radiographically, and functionally for 12 to 72 months (mean 31·3 months). Follow-up observations showed that, 101 patients (97·1%) had neurological function improvement more than one Frankel grade (3 no change), the average loss of vertebral body height basi- cally reversed to normal (mean 58·3% preoperatively versus mean 3·2% postoperatively, with mean loss of 2·1% in follow-up), and the kyphotic angles were basically corrected (mean 29°preoperatively versus mean 3·4°postoperatively, with mean loss of 3·4°in follow-up).　 Conclusions　The short-segment transpedicular instrumentation and fusion can provide excellent reduction and fixation, indirect decompres- sion, and stabilization for unstable thoracic and lumbar fractures. The USS may be effectively employed in the short-segment fixation of tho- racic and lumbar fractures.

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更新日期/Last Update: 2014-06-10