| 后路减压加短节段椎弓根螺钉系统内固定治疗胸腰椎骨折并脊髓损伤 |
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| 引用本文： | 叶毓麟,徐尼亚. 后路减压加短节段椎弓根螺钉系统内固定治疗胸腰椎骨折并脊髓损伤[J]. 中华创伤骨科杂志, 2003, 5(3): 260-261 |
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| 作者姓名： | 叶毓麟 徐尼亚 |
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| 作者单位： | 523220,广东省东莞市中堂医院骨科 |
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| 摘 要： | 目的探讨脊柱后入路减压加短节段椎弓根螺钉系统内固定治疗胸腰椎骨折并不全瘫的效果。方法对27例胸腰椎骨折进行后路减压、植骨及Dick、RF内固定治疗。结果术后平均随访时间为11个月(6～20个月),脊柱后凸角度(Cobb’s角)由术前的24°平均恢复到10°(5°～15°);伤椎椎体前缘高度由术前35%(10%～60%)平均恢复到90%(80%～100%)。按Frankel脊髓神经功能分级标准D级19例,E级8例。结论后入路减压加短节段椎弓根螺钉系统内固定具有手术操作简单、损伤小、椎管减压充分等优点,有利于脊髓功能的恢复。
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| 关 键 词： | 后路减压 短节段椎弓根螺钉系统 内固定 治疗 胸腰椎骨折 脊髓损伤 脊髓功能 |
| 文章编号： | 1671-7600(2003)03-0260-02 |
| 修稿时间： | 2002-11-05 |
Treatment of fractures of thoracolumbar vertebral body with paraplegia by posterior decompression and internal fixation |
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| YE Liu lin,XU Ni ya. Treatment of fractures of thoracolumbar vertebral body with paraplegia by posterior decompression and internal fixation[J]. Chinese Journal of Orthopaedic Trauma, 2003, 5(3): 260-261 |
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| Authors: | YE Liu lin XU Ni ya |
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| Affiliation: | YE Liu lin,XU Ni ya.Department of Orthopaedics,The Zhongtang Hospital of Dongguan,Dongguan,Guangdong 523220,China |
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| Abstract: | Objective To study the management of thoracolumbar vertebral fracture by posterior route decompression and internal fixation. Methods 27 cases of thoracolumbar vertebral fracture with spinal injury were treated by posterior route decompression and Dick or RF internal fixation. Results All cases were followed up for an average of 11 months (from 6 months to 20 months). 27 cases had a good anatomic reduction and maintained thoracic lumbar lordosis. 19 cases gained D Frankel grades of neurological recovery and 8 cases gained E Frankel grades of neurological recovery. Conclusion Posterior route decompression and internal fixation with Dick or RF is less traumatic, simple in manipulation, and cheap in treating thoracolumbar vertebral body fracture. |
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| Keywords: | Thoracolumbar Spine Internal fixation Posterior decompression Spinal injury |
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