经伤椎撬拨复位植骨椎弓根螺钉内固定治疗胸腰椎爆裂性骨折的疗效观察.docVIP

经伤椎撬拨复位植骨、椎弓根螺钉内固定治疗胸腰椎爆裂性骨折的疗效观察 　　摘 要：目的 研究经伤椎撬拨复位植骨、椎弓根螺钉内固定治疗胸腰椎爆裂性骨折的临床疗效。方法 选取我院2013年2月～2016年2月收治的本研究病例患者102例，采用经伤椎撬拔复位植骨联合椎弓根螺钉内固定方法进行治疗，评价分析患者治疗后的恢复情况。结果 本次随访成功100例，失访2例，成功随访率98.04%。患者治疗后伤椎恢复良好，骨折椎体愈合情况较好，椎体恢复高度满意，未见明显后凸畸形，未出现内固定物松落、断裂的情况。结论 胸腰椎爆裂性骨折采用经伤椎撬拨复位植骨、椎弓根螺钉内固定治疗的临床效果显著，患者椎体的高度和强度得到保持，无明显的并发症发生。 　　关键词：爆裂性骨折；椎弓根螺钉内固定；伤椎复位植骨 　　中图分类号：R687.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.010 　　文章编号：1006-1959（2018）01-0025-02 　　Clinical Observation of Poking Reset Bone Graft，Pedicle Screw Fixation of Thoracolumbar Burst Fractures 　　CAI Tian-wen 　　（Department of Orthopedics，One Subject，Chinese Medicine Hospital of Pingxiang，Pingxiang 337000 Jiangxi，China） 　　Abstract：Objective To study the clinical effect of bone grafting and pedicle screw internal fixation in the treatment of thoracolumbar burst fracture.Methods A total of 102 cases of this study were selected from February 2013 to February 2016 in our hospital，tanspedicular bone grafting combined with pedicle screw fixation was used for treatment，evaluate and analyse the patients recovery after treatment.Results 100 cases of the successful follow-up，2 cases of lost visit，the successful follow-up rate was 98.04%.The recovery of the injured vertebra is good after the treatment of the patients，as well as the healing of fractured vertebral body，the recovery of vertebral is quite satisfactory，no obvious kyphosis，no loosening of internal fixtures.Conclusion The patients with thoracolumbar burst fractures treated with poking reset bone graft，and pedicle screw fixation have significant recovery，the height and intensity of the patients vertebral body is maintained as no obvious complications occurred. 　　Key words：Burst fracture；Pedicle screw internal fixation；Reposition and bone graft of injured vertebra 　　脊柱压缩的力量主要被椎体吸收，在压缩时终板向椎体侧膨隆，发生破裂，导致髓核物质进入到椎体内部，因增加了椎体压力出现爆裂，髓核进入到椎体的速度大于椎体内骨髓和脂肪等物质流出的速度就会发生爆裂性骨折[1]。现在临床上一般采用经伤椎固定治疗，有较为显著的治疗效果。笔者为了深入探究经伤椎撬拨复位植骨、椎弓根螺钉内固定的临床疗效，特选取了102例患者展开治疗研究，结果如下。 　　1?Y料与方法 　　1.1一