[1]陈亮清,白龙,蔡祖祥,等.X线引导下经皮通用脊柱系统内固定治疗胸腰椎骨折[J].中国微创外科杂志,2005,05(10):864-865.
　Chen Liangqing,BaiLong,CaiZuxiang,et al.Fluoroscopically guided percutaneous internal fixation with the Universal Spine System for thoracolumbar fractures[J].Chinese Journal of Minimally Invasive Surgery,2005,05(10):864-865.
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X线引导下经皮通用脊柱系统内固定治疗胸腰椎骨折()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年10期
页码:
864-865
栏目:
出版日期:
2005-10-30

文章信息/Info

Title:
Fluoroscopically guided percutaneous internal fixation with the Universal Spine System for thoracolumbar fractures
作者:
陈亮清; 白龙; 蔡祖祥; 陈敏; 陈科明　
广东省深圳市宝安区福永人民医院骨外科,深圳,518103
Author(s):
Chen Liangqing;  BaiLong;  CaiZuxiang;  etal.
Department ofOrthopedics, FuyongPeople’sHospital ofBaoanDistrict, Shenzhen518103, China
关键词:
胸腰椎骨折; 通用脊柱系统; 内固定
Keywords:
Thoracolumbar fracture; 　UniversalSpine System; 　Internal fixation
分类号:
R683
文献标志码:
A
摘要:
目的探讨X线引导下经皮通用脊柱系统(USS)内固定治疗胸腰椎骨折的可行性.方法 2002年10月～2004年5月对无须减压胸腰椎骨折8例采用后路经皮USS椎弓根螺钉植入,在椎旁肌深层置入固定棒行伤椎复位固定.结果手术时间120～240 min,平均140 min.术中出血量20～90 ml,平均40 ml.后凸Cobb's角术前(21.5±4.3)°、术后(2.7±1.5)°(t=17.541,P=0.001),椎体塌陷术前18.5%±4.1%、术后2.4%±1.0%(t=16.504,P=0.001).术后3周佩戴腰围支具下床,复查Frankel分级,C级恢复至D级2例,D级恢复至E级1例,保持D级1例,保持E级4例.结论经皮USS内固定治疗无须减压的胸腰椎骨折创伤小,恢复快,但技术难度高,X线暴露时间长.
Abstract:
Objective　To study the feasibility of fluoroscopically guided percutaneous internal fixation with the Universal Spine System (USS) in the treatmentof thoracolumbar fractures.　M ethods　A totalof8 patientswith thoracolumbar fractureswithout the need of decompression of the spinal canal underwent posterior percutaneous pedicle screw fixation by using the USS from October 2002 toMay 2004. A fixation rod was placed under the vertebrae muscle to complete the reduction and fixation.　Results　The operation timewas 120~240 min (mean, 140 min), and the intraoperative blood losswas 20~90 ml (mean, 40 ml). The Cobb’s angle decreased from 21. 5°±4. 3°preoperatively to 2. 7°±1. 5°postoperatively (t=17. 541,P=0. 001). The collapse of vertebra was 18. 5%±4. 1% preoperatively and 2. 4%±1. 0% postoperatively (t=16. 504,P=0. 001). All the patients got out of bed 3 weeks after operation with the assistance ofgirdle brace. Effects of treatmentwere evaluated according to the Frankelgrade at the third postoperativeweek: 2 patients recovered from grade C to D, 1 patient from D to E, 1 patient remained in D, and 4 kept in E.　 Conclusions　Percutaneous internal fixation by using the USS in the treatment of thoracolumbar fractures without the need of decompression of the spinal canal offers advantages ofminimal invasion and quick recovery, though it has some technical difficulties and disadvantages of long-time exposure underX-ray.

参考文献/References:

[1]王伟,孙辉生,刘大鹏,等.经皮穿刺后路脊柱内固定术治疗胸腰椎骨折.脊柱外科杂志,2004,2(1):14.
[2]郝鹏,陈德武,何少锋.经椎弓根内固定早期治疗无或轻微症状脊柱骨折 .临床骨科杂志,2000,3(4):273-274.
[3]Frankel HL.The value of postured reduction in the initial management of closed injuries of spine with paraplegia and tetraplegia.Paraplegia, 1969, 7:171.
[4]Mathe H H,Long BH.Endoscopy assisted percutaneous anterior interbody fusion with suprafascial fixation:evolution of technique and surgical consideration.Orthop Int Ed,1995,3:496-500.
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更新日期/Last Update: 2014-04-29