《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (11): 1308-1310.

• 国际会议报道 • 上一篇    下一篇

跨伤椎置钉和经伤椎置钉治疗A型胸腰椎骨折效果比较

王方永，李建军，洪毅
  

  1. 作者单位：1.首都医科大学康复医学院，首都医科大学骨外科学系，北京市 100068；2.中国康复研究中心北京博爱医院，北京市 100068。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-11-25 发布日期:2015-11-25

Effect of Short-segment Pedicle Screws System with or without Pedicle Screws on Fractured Level on Type A Thoracic and Lumbar Spine Fracture

WANG Fang-yong, LI Jian-jun, HONG Yi
  

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Department of Spine and Spinal Cord Surgery, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-11-25 Online:2015-11-25

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摘要： 目的 探讨跨伤椎置钉和经伤椎置钉治疗A型胸腰椎骨折的手术效果。方法 胸腰椎骨折行后路椎弓根系统内固定术治疗患者23例，按手术方法分为A组(跨伤椎置钉组) 11例和B组(经伤椎置钉组) 12例。手术前后测量伤椎前缘高度、伤椎后缘高度、局部后凸角。结果 所有椎弓根螺钉均顺利植入，螺钉位置及内固定稳定性良好。两组椎体高度和后凸角均改善(P<0.05)，B组后凸角矫正程度优于A组(P<0.05)。结论 后路椎弓根系统内固定结合经伤椎置钉，矫正后凸畸形的短期效果优于单纯内固定。

关键词: 胸腰椎骨折, 伤椎置钉, 手术, 椎弓根系统

Abstract: Objective To investigate the effects of short-segment pedicle screws system on type A thoracic and lumbar spine fracture with or without pedicle screws on the fractured level. Methods 23 patients with type A thoracic and lumbar spine fracture were included, in which 11 cases received traditional short-segment pedicle screws system without pedicle screws on the fractured level (group A), and other 12 cases with pedicle screws on the fractured level (group B). The anterior vertebral height, posterior vertebral height and local kyphosis angle were measured before and after operation. Results All pedicle screws were successfully implanted with good location and stability. The vertebral height and kyphosis angle significantly improved after operation in both groups (P<0.05), and the improvement of kyphosis angle was more in group B than in group A (P<0.05). Conclusion Short-segment pedicle screws system with pedicle screws on the fractured level may fine correct the kyphosis angle in short term.

Key words: thoracic and lumbar spine fractures, pedicle screw on fractured vetebral, surgery, short-segment pedicle screws system