锁定加压钢板治疗合并神经损伤的骶骨骨折

Treatment of unstable sacral fractures with neurological deficits by fixing with locking compression plate

目的探讨锁定加压钢板(LCP)治疗合并神经损伤的骶骨不稳定骨折的效果。方法采用LCP固定治疗合并神经损伤的不稳定骶骨骨折患者7例:L5神经根损伤3例,骶丛神经损伤4例。2例术中行经后路神经减压、骨折复位固定术,5例单纯行骨折复位固定术。结果7例均获随访,时间12～36(20.8±8.6)个月。3例L5神经根损伤和2例骶丛神经损伤者Frankel分级由C级恢复至E级,另2例骶丛神经损伤者由C级恢复至D级。术后功能根据Majeed评分标准评定:优3例,良3例,可1例。结论LCP治疗合并神经损伤的骶骨不稳定骨折是一种有效的方法。

Objective To explore the effect of locking compression plate （LCP） fixing for unstable sacral fractures complicated with neurological deficits. Methods Seven cases of sacral fractures complicated with neurological deficits （ 3 with neurological deficits of the L5 root and 4 with neurological deficits of sacral plexus ） were treated by fixing the sacral fractures with locking compression plates. Two cases were performed decompression procedure of nen, es, reduction and fixation of the sacral fractures through posterior approach. 5 cases were only performed reduction and fixation of the sacral fractures through posterior approach. Results All the patients were followed up for a mean of 20. 8 ± 8.6 months （ranged from 12 months to 36 months）. 3 cases suffered from neurological deficits of the root of Ls and 2 cases suffered from neurological deficits of sacral plexus recovered fi＇om Frankel C to E scale after operation, and the other 2 cases from Frankel C to D scale. According to the Majeed standards,the results were excellent in 3, good in 3, and fair in i. Conclusions It was an effective method to treat the unstable sacral fractures with neurological deficits by fixing the sacral fractures with locking compression plate.