后路钉棒系统内固定结合后外侧植骨治疗胸腰段脊椎骨折

目的观察后路钉棒系统置入内固定并后外侧植骨融合治疗胸腰脊椎骨折并神经损伤的临床疗效。方法回顾性分析2009年6月～2011年6月住院的胸腰脊椎骨折并神经损伤的患者32例,采用后路钉棒系统置入内固定并侧前方植骨融合治疗。结果术前和术后椎体前缘高度恢复、Cobb角的变化以及脊髓神经功能恢复比较,差异有统计学意义(P<0.05)。结论后路钉棒系统内固定并后外侧植骨融合是治疗胸腰脊椎骨折并神经损伤有效的治疗方法。

Objective To study on the effect of screw and rod system combined with posterolateral bone in the treatment of thoracic and lumbar fractures. Methods the data of 32 patients with horacic and lumbar fractures with nerve damage of our hospital from June 2009 to June 2011 were retrospectively analyzed,screw and rod system combined with posterolateral bone were used. Results Preoperative and postoperative recovery,height of vertebral devices margin Cobb angle of change and spinal neurological recovery compared,the difference was statistically significant （P0.05）. Conclusion Screw and rod system combined with posterolateral bone in the treatment of thoracic and lumbar fractures is effective treatment method.