胸腰段脊柱损伤14例治疗体会

Treatment of Thoracic and Lumbar Spine Injury 14 Cases

目的探讨分析椎弓根内固定术治疗胸腰椎段脊柱损伤的疗效。方法回顾性分析2008年1月—2009年1月收治的14例脊柱损伤的患者,采用经椎弓根固定的方法治疗,并随访观察治疗效果。结果整体置钉的准确率达88.5%,已被矫正的畸形术再复发的患者有3例,而发生椎弓根螺钉断裂的患者1例,系统螺母松脱1例。均无神经系统症状加重或新出现神经系统症状的患者。结论经椎弓根固定治疗脊柱损伤,是符合脊柱生物力学原理的,但是需要严格掌握椎弓根定位和钻孔技术,同时避免内固定失误的发生,才能取得良好的治疗结果。

Objective To analyze the pedicle screw fixation for thoracic and lumbar spine injury in effect.Methods A retrospective analysis of our hospital 14 cases with spinal injury treated in 2008.1 to 2009.1,the method used by the pedicle screw fixation treatment and follow-up observation of treatment.Results The overall accuracy rate of pedicle screws 88.5%,deformity has been corrected with surgery in patients with recurrence in 3 cases,and occurred in patients with pedicle screw breakage in 1 case,the system nut loose in 1.Conclusion The pedicle screw fixation for spinal injuries is good,but there is a need for strict control of pedicle positioning and drilling techniques to achieve good treatment outcomes.