经伤椎椎弓根植骨联合伤椎椎弓根螺钉固定治疗胸腰段骨折

目的　探讨经伤椎椎弓根植骨联合伤椎椎弓根螺钉固定治疗胸腰椎骨折的临床疗效。 方法　回顾性研究2006年6月-2009年8月的52例胸腰段段骨折患者，均为AO分型中的A型骨折，采用经伤椎椎弓根植骨联合伤椎椎弓根螺钉固定治疗。患者手术前后和随访均行X线检查，测量伤椎椎体前缘高度值、Cobb's角。手术前后CT测量椎管内占位比并评估植骨情况。观察术后并发症和神经功能恢复情况。 结果　患者随访（16.5±7.8）月(12~30月)。无切口感染、神经症状加重，无内固定松动及断裂。伤椎前缘高度术后和末次随访均较术前恢复满意。Cobb's角术后和末次随访无明显矫正丢失。椎管内占位比为较术前明显改善。神经功能较术前均有1～2级的改善。 结论　伤椎椎弓根植骨可有效修复伤椎复位后的椎体缺损，伤椎椎弓根螺钉固定能有效重建骨折稳定性，前中后三柱重建稳定，是治疗胸腰椎A型骨折的一种有效方法。

Transpedicular intracorporeal grafting combined with posterior short-segment pedicle screw via the injured vertebra for treatment of thoracolumbar fractures

Objective To explore the clinical efficacy of transpedicular intracorporeal grafting combined with posterior short-segment pedicle screw via the injured vertebra for thoracolumbar fractures treatment.Methods A total of 52 patients of thoracolumbar fractures were treated with transpedicular intracorporeal grafting combined with posterior short-segment pedicle screw via the injured vertebra from June 2006 to December 2009.According to the AO classification,all of them are type A fracture.Preoperative,postoper...