胸腰椎骨折几种内固定系统疗效随访分析

TheComparisonStudyofFolow┐upResultsofSpinalFracturesTreatedwithSeveralInternalFixationSystems

目的：对比研究胸腰椎骨折不同内固定系统的优缺点及治疗效果．方法：１３８例脊柱胸腰段骨折及骨折脱位患者，采用椎弓根螺钉系统及棍钩等几组不同手术方法治疗，对比其手术前后椎高、椎管面积、脊髓功能及并发症情况，判断不同手术方法的治疗效果．结果：ＲＦ角度椎弓根螺钉系统能满意地复位，解除椎管内占位骨块压迫，恢复椎管面积并维持解剖复位直至融合，有利于脊髓功能恢复．结论：角度椎弓根螺钉系统是治疗胸腰椎骨折首选内固定系统．

Aim:Thisisacomparisonstudyonfolow-upresultsofthorac-lumbarandlumbarfracturestreatedwithseveralinternalfixationsystems.Methods:138casesofthorac-lumbarandlumbarspinalfracturesanddislocationsweretreatedwithpedicalscrewsystemorhook-rodsystem.Withthefolow-up3to7years,theneuro-functionandspinalfusionweredetectedbyvertebralheight,lordosissagittalcurveandspinalcordarea.Results:AlcasestreatedwithRFsystemreachedanatomyreductionandindirectdecompressioninthespinalcord.Conclusion:TheRFsystemmaintainsassuredreductionandsolidfusion.RFsystemmaybethemostappropriatemodalityinthetreatmentofspinalfractures.