摘要
目的:探讨胸椎骨折脱位伴脊髓损伤的不同节段内固定的方法,评价脊椎单元骨折重建与脊髓修复效果。方法:回顾性分析我院2005年1月~2010年12月收治的60例胸椎骨折伴脊髓损伤患者的临床资料。对胸椎中上段骨折采用多节段椎弓根螺钉内固定,对胸椎下段骨折行经伤椎置钉短节段椎弓根螺钉内固定。积极采用运动治疗、作业治疗及膀胱训练,观察伤椎椎体前高比和脊髓神经及肢体功能的恢复情况。结果:术后随访3月~5年,伤椎前高比明显高于术前(P<0.05);感觉运动评分较术前亦明显提高(P<0.05)。结论:选择恰当的椎弓根螺钉内固定能较好地重建骨折脊椎解剖结构、生物力学及椎管有效容积,为脊髓修复提供解剖基础,采用积极规范康复措施,能最大限度恢复脊髓神经功能。
Objective: To discuss the internal fixation method for thoracic spine fracture and dislocation combined with spinal cord injury,and evaluate the effect of restoration and reconstruction.Methods:The clinical information of 60 cases from Jun.2003 to Jun.2007 were retrospectively analyzed.The fracture in middle-up part was fixed by multi-segmental pedicle screw,while lower part was fixed by short-segmental pedicle screw.The affected vertebra height and recovery condition of spinal nerves were observed.Results:All the cases were followed up for 3 years after operation.The affected vertebra height was obviously higher than that before operation(P0.05);and sensorimotor scores was also obviously imroved after operation(P0.05).Conclusion:The proper pedicle screw for internal fixation can better rebuild fracture vertebral and restore nerve function.
出处
《农垦医学》
2010年第6期501-504,共4页
Journal of Nongken Medicine
关键词
胸椎
脱位
骨折固定术
Thoracic vertebrae
Dislocation
Fracture fixation