期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

钉棒系统结合经椎体内与后外侧植骨治疗胸腰椎骨折 被引量：3

Treatment of thoracolumbar fracture with nail-stick system combined with bone graft
原文传递
导出
摘要 目的分析钉棒系统结合椎体内及后外侧植骨治疗胸腰椎骨折近、远期疗效。方法胸腰椎椎体骨折患者37例,采用AF及钉棒系统固定并进行伤椎植骨,术前、术后及末次随访对节段Cobb角、伤椎矢状位指数(SI)进行评价。结果术后Cobb角和SI指数分别为(6.57±3.81)度和(7.84±5.40)度,末次随访分别为(7.18±4.13)度和(8.37±4.62)度,均明显小于术前的(21.95±4.74)度和(24.92±4.46)度(P<0.01)。结论钉棒系统结合椎体内植骨联合后外侧植骨技术能够明显改善胸腰椎骨折患者阶段Cobb角及SI指数。 Objective To analyze short-term and long-term clinical outcomes of treating thoracolumbar fracture by nail-stick sysstem combined with bone graft.Methods AF or Chinese Great Wall nail-stick system combined with bone graft was performed in 37 patients with thoracolumbar fracture.Cobb angle and SI were scored before and after operation and at final follow-up.Results Cobb angle and SI were（6.57±3.81）degrees and（7.84±5.40）after operation,（7.18±4.13）degrees and（8.37±4.62）at final follow-up,which were all significantly less than（21.95±4.74）degrees and SI of（24.92±4.46）,respectively,before sugery（P〈0.01）.Conclusion Nail-stick system and bone graft can significantly improve Cobb angle and SI in the patients with thoracolumbar fracture.
作者 王培民 马勇 范竞
机构地区 南京中医药大学附属医院骨伤科 南京中医药大学第一临床医学院
出处 《江苏医药》 CAS CSCD 北大核心 2010年第7期769-771,共3页 Jiangsu Medical Journal
关键词 胸腰椎骨折 钉棒系统 植骨 Thoracolumbar fracture Nail-stick system Bone graft
分类号 R683 [医药卫生—骨科学]
  • 相关文献

参考文献9

  • 1Alanay A, Acaroglu E, Yaxici M, et al. Short-segment pedicle intrumentation of thoracolumbar burst fractures., does transpedicular intracorporeal grafting prevent early failure[J]. Spine, 2001,26(2) :213-217.
  • 2Gaines RW Jr. The use of pedicle-screw internal fixation for the operative treatment of spinal disorders[J]. J Bone Joint Surg, 2000,82-A(10) : 1458-1476.
  • 3Muller U,Berlemann U, Sledge J, et al. Treatment of thoraco lumbar burst fractures without neurologic deficit by indirect reduction and posterior instrumentation: bisegraental stabiliza tion with monosegmental fusion[J]. Eur Spine J, 1999,8 (4) 284-289.
  • 4魏东,张静波,汪明星,王亚贤.经椎弓根椎体内植骨椎弓根钉复位固定治疗胸腰椎骨折[J].骨与关节损伤杂志,2003,18(2):76-78. 被引量：58
  • 5Bence T, Schreiber U, Grupp T, et al. Two column lesions in the thoracolumbar junction: anterior, posterior or combined approaeh?A comparative biomechanical in vitro investigation [J]. Eur Spine J, 2007,16 (6) : 813-820.
  • 6钱邦平,邱勇,王斌,俞扬,朱泽章.后外侧融合对胸腰椎爆裂型骨折疗效的影响[J].中华创伤杂志,2006,22(2):121-125. 被引量：44
  • 7Sasso RC,Cotler HB. Posterior instrumentation and fusion for unstable fractures and fracture-dislocations of the thoracic and lumbar spine. A comparative study of three fixation devices in 70 patients[J]. Spine, 1993,18 (4) : 450-460.
  • 8Leduc S, Mac-Thiong JM, Maurais G, et al. Posterior pedicle screw fixation with supplemental laminar hook fixation for the treatment of thoracolumbar burst fraetures[J]. Can J Surg, 2008,51(1) :35-40.
  • 9Wessberg P,Wang Y,Irstam L,et al. The effect of surgery and remodeling on spinal canal measurements after thoracolumbar burst fractures[J]. Eur Spine J, 2001,10(1) : 55-63.

二级参考文献23

  • 1胡有谷 党耕町.脊柱外科学[M].北京:人民卫生出版社,2000.203-211.
  • 2Alanay A,Acaroglu E,Yazici M,et al.Short-segment pedicle instrumentation of thoracolumbar burst fractures:does transpedicular intracorporeal grafting prevent early failure? Spine,2001,26:213-217.
  • 3Farcy JP,Weidenbaum M,Glassman S.Sagittal index in the management of thoracolumbar burst fractures.Spine,1990,15:958-965.
  • 4Greenough CG,Fraser RD.Assessment of outcome in patients with low back pain.Spine,1992,17:36-41.
  • 5Jeffrey WP,Joel RL,Eldin EK,et al.Successful short-segment instrumentation and fusion for thoracolumbar spine fractures A consecutive 41.2-year series.Spine,2000,25:1157-1169.
  • 6Alanay A,Acaroglu E,Yazici M,et al.The effect of transpedicular intracorporeal grafting in the treatment of thoracolumbar burst fractures on canal remodeling.Eur Spine J,2001,10:512-516.
  • 7Agisilaos AC,Pavlos KG,George S,et al.Gertzbein and load sharing classifications for unstable thoracolumbar fractures.Clin Orthop,2003,(411):77-85.
  • 8McLain RF,Burkus JK,Benson DR.Segmental instrumentation for thoracic and thoracolumbar fractures:prospective analysis of construct survival and five-year follow-up.Spine J,2001,1:310-323.
  • 9Fürderer S,Wenda K,Thiem N,et al.Traumatic intervertebral disc lesion-magnetic resonance imaging as a criteria for or against intervertebral fusion.Eur Spine J,2001,11:154-163.
  • 10Sanderson PL,Fraser RD,Hall DJ,et al.Short segment fixation of thoracolumbar burst fractures without fusion.Eur Spine J,1999,8:495-500.

共引文献100

同被引文献26

  • 1陶笙,王惠先,梁雨田,郭义柱,唐佩福,毛克亚.胸腰椎骨折内固定手术失败原因分析[J].中华创伤骨科杂志,2006,8(8):740-743. 被引量：38
  • 2历强,贺西京,王斌,彭国栋,樊沛,臧全金.胸腰椎骨折内固定术后椎弓根螺钉断裂的原因分析及对策[J].中国脊柱脊髓杂志,2007,17(6):430-432. 被引量：49
  • 3He D, Wu L, Chi Y, et al. Facet joint plus interspinous process graft fusion to prevent postoperative late correction loss in thoracolumbar fractures with disc damage: Finite element analysis and small clinical trials. Clin Biomech (Bristol, Avon), 2011, 26(3): 229-237.
  • 4Shen WJ, Liu TJ, Shen YS. Nonoperative treatment versus posterior fixation for thoracolumbar junction burst fractures without neurologic deficit. Spine (Phila Pa 1976), 2001, 26(9): I038-I045.
  • 5Hakalo J, Wrofiski J. Complications of a transpedicular stabilizationof thoraco-lumbar burst fractures. Neurol Neurochir Pol, 2006, 40(2): 134-139.
  • 6Potter BK, Lehman RA, Kuklo TR. Anatomy and biomechanics of tho- racic pedicle screw instrumentation. Curr Opinin Orthop, 2004, 15(3): 133-144.
  • 7Eno ]], Chen IL, Mitsunaga MM. Short same-segment fixation of tho- racolumbar burst fractures. Hawaii I Med Public Health, 2012, 71(1): 19-22.
  • 8Lin D, Guo L, Ding Z, et al. Modified surgery for acute thoracolumbar fractures: a prospective report. Eur Orthop Traumatol, 2011, 2(1-2): 33-39.
  • 9Shi ], Mei X, Liu , et al. The influence of correction loss in thoraco- lumbar fractures treated by posterior instrumentation: a minimum 7-year follow-up. ] Clin Neurosci, 2011, 18(4): 500-503.
  • 10Gaines RW. The use of pedicle-screw internal fixation for the operative treatment of spinal disorders [J]. J Bone Joint Surg Am,2000,82(10) :1458-1476.

引证文献3

二级引证文献54

江苏医药
2010年 第7期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部