前路减压Z-plate内固定治疗胸腰段爆裂性骨折伴不全性截瘫

Treatment of burst fracture of thoracolumbar vertebrae with incomplete paraplegia by anterior decompression and Z-plate internal fixation

目的 探讨胸腰段爆裂性骨折伴不全瘫前路减压内固定优越性以及Z plate系统的优点。 方法 采用前路减压Z plate内固定治疗胸腰段爆裂性骨折伴不全瘫 2 5例。结果 全部病例均获随访 ,随访时间 6～2 4个月 ,平均 17个月。按Frankel分级评定有 1～ 3级恢复 ,随访期间无后凸加重及内固定松动 ,植骨融合。结论 前路减压Z plate内固定是治疗胸腰段爆裂性骨折的较好方法。

Objective To investigate the advantages of treatment for burst fracture of thoracolumbar verterae with incomplete paraplegia by anterior decompression and internal fixation by Z-plate. Methods 25 cases of burst fracture of thoracolumbar vertebrae companied incomplete paraplegia were treated with anterior decompression and internal fixation by Z-plate. Results All patients were followed up for 6～24 months,mean 17 months. According to the Frankel scale, the cases recovered with 1～3 degree, respectively. No exacerbation of kyphosis or looseness of internal fixation was found.The graft bones fused. Conclusion Anterior decompression and internal fixation with Z-plate is a good procedure for treatment of burst fracture of thoracolumbar vertebrae.