常用四种短节段经椎弓根复位固定器治疗胸腰椎骨折的疗效分析

Analysis of Surgical Result for the Fracture of Thoracolumbar Spine Treated with Four Types of Short Segmental Transpedicular Fixation

作者报告短节段经椎弓根复位固定器治疗胸腰椎骨折213例结果,其中Roy—Camille技术90例,Dick30例,R—F56例,Margerl37例.经过平均随访4年4个月表明尽管四种复位固定器的生物力学测试结果不同,但临床治疗骨折的复位固定效果相似,并无明显差异.Roy—Camille断钉率高,Dick技术操作繁琐,margerl手术创伤最小,作者建议骨科医师宜按自己的经验灵活选用.

The authors report the surgical result for the fracture of thoracolumbar spine treated with four types of short segmental transpedicular fixation There were Roy-Camille technique 90 cases,Dick technique 30 cases,R-F technique 56 cases and Margerl technique 37 cases in 213 cases. The follow up was 4 years and 4 months in average. Although their biomechnical analysis was different, the reductive effects of fractured vertebrae were similar and there were no significant difference in statistics. The Dick technique is more difficult, Roy-Camille technique has higher percentage of screw break and Margerl technique has minimal operative trauma. Orthopaedic surgeons should select one of these techniques by their own experience.