Z-plate钢板在胸12椎体爆裂性骨折中的应用

The Application of the Z-palte Fixation System in the 12th Thoracic Vertebrae Burst Fracture

目的评估Z—plate钛钢板内固定系统在胸12椎体爆裂性骨折中的应用价值。方法对21例胸12椎体爆裂性骨折患者行前路椎管减压、植骨、并采用Z—plate钛钢板内固定系统前路固定。结果21例患者均获随访，访时间5～36个月，平均18个月，植骨均已牢固融合，无植骨块塌陷及伤椎高度丢失，亦无钢板、螺钉断裂及松动现象。无继发性脊柱后突畸形的病例。结论Z—plate钛钢板内固定系统治疗胸12椎体爆裂性骨折可使固定节段具有高度的内在稳定性，并发症少，适合于胸12椎体爆裂性骨折行前路椎管减压后的脊柱稳定性重建。

Objective To evaluate the application of the Z - titanium plate fixation system in thel2th thoracic vertebrae burst fracture. Methods Anterior decompression, bone grafting and titanium steel Z - plate anterior fixation system were used in 21 patients of thoracic 12th vertebral burnt fracture. Results 21 patients were followed up for 5 ~ 36 months, with an average of 18 months. They had a solid bone fusion without bone block collapsed and height of vertebral injury lost, and plate, screw fracture loosened. Without secondary kyphosis deformity cases. Condusion The Z -titanium plate fixation system for the treatment of 12th vertebral burst fracture can make the fixed segment have a high degree of internal stability, fewer complications, which is suitable for 12th thoracic vertebrae burst fracture ＇ s reconstruction of spinal stability after anterior spinal canal decompression.