摘要
目的报道椎弓根螺钉内固定技术临床应用治疗胸腰椎骨折及腰椎滑脱的疗效。方法经椎弓根螺钉内固定技术应用胸腰骨折、滑脱后路复位固定手术治疗36例。其中腰4椎体滑脱10例,腰5椎体滑脱2例,胸腰椎骨折24例。AF系统内固定+植骨6例,RF系统内固定植骨12例,钉棒组合内固定系统+植骨18例。结果椎体复位及内固定效果好,本组36例中无内固定松动及断钉、断棒现象。结论椎弓根螺钉内固定技术是一项用途广、安全有效的脊柱内固定技术,植骨能确保治疗的效果,并发症的发生与掌握椎弓根螺钉内固定技术的熟练程度有关。
objective To observe the effect of transpedical screw system for the treatment of thoracic fracture, lumbar fracture, and lumbar spondylolisthesis. Methods 36 patients were evaluated in this study. Among them, there were 10 cases with L4 spondylolisthesis, 2 cases with L5 spondylolisthesis, and 24 cases with thoracic-lumbar fracture. These patients were fixated by either of AF and RF system. In all the patients with instruments, 6 cases with AF syetem and bone graft, 12 cases with RF and bone graft, and 18 cases with screws plus bars. Results The clinical results were excellent. All patients achieved successful fusion and bony union. There were no pedicle screw loosening or broken in this series. Conclusions the transpedical screw system is an effective and reliable procedure for treatment of spine fractures and lumbar spondylolisthesis. Bone grafting for the reconstruction of spine stability is very irnportant.
出处
《海南医学》
CAS
2005年第7期54-55,共2页
Hainan Medical Journal
关键词
胸腰骨折
滑脱
椎弓根内固定
thoracic-lumbar fracture lumbar spondylolisthesis transpedical screw system
