应用Harrington撑开棒治疗胸腰段不稳定性骨折及骨折脱位

Harrington Instrumentation for Unstable Fracture and Fracturedislocation of the Thoracico-Lumbar Spine.

本文报告用哈氏撑开棒复位和固定治疗30例胸腰段不稳定骨折或骨折脱位病人。全部病例均有神经功能丧失。26例术后8月～3.5年随访,除1例外,余均获得牢固骨性愈合,14例完全性瘫痪和12例不完全性瘫痪患者不同程度恢复了神经功能。此方法具有稳定脊柱的实效,可以早期活动,早期康复,且不遗留脊柱畸形。

Thirty patients with unstable thoracolumbar fracture or fracture： dislocation were redaced and stabilized with Harrington rods. All patients had neurological complications, in which 18 patients had complete paraplegia, 12 incomplete paraplegia Postero-lateral decompression was performed in 8 patients, and fasion in 10 patients Twenty-six patients were followed up for 8 months to 3.5 years after operation Solid union was obtained in all patients but one Some neural function was restored. The advantages of this technique are effective, stabilization of spine, early mobilization and rehabilitation, and no residual spinal deformity.