前路Z形钛板内固定治疗胸腰椎暴裂性骨折体会

The treating experience of thoracis and lumber vertebra explosive fracture with internal fixation of front Z-plate

目的 :探讨胸腰段爆裂性骨折前路减压Z型钛板内固定的临床意义。方法 :对 12例胸腰椎暴裂性骨折伴脊髓或马尾神经损伤患者采用经第 12肋胸膜外、腹膜后入路 ,将伤椎上下位破裂间盘及伤椎本身次全切除、减压、植骨 ,应用Z -plate钛板内固定。结果 :术后平均随访 13个月 ,术后无脊髓神经根再损伤 ,全部病例椎间植骨牢固融合 ,脊椎序列及胸腰段脊柱曲度恢复正常 ,神经功能有不同程度恢复。结论 :前路减压直接、彻底 ,前路重建符合脊柱的生物力学特征。

Objective: To research the clinical significance of Z-plate internal fixation by decompression. Method: 12 cases injuried vertebra were incised decompression and replanted through peritoneum and pleura. All the 12 thoracic and lumber vertebra explosive fracture complicated with sinal or cauda equina nerve injury and all of them uses Z-plate internal fixation. Result: They were followed up 13 months meanly. All the vertebra planted bone were fixed and there's no spinal nerve reinjuried all the nerval function were cured. Conclusion: Former decompression is direct any throughly and the reconstract is suitable to the biomechanics feature.