短节段椎弓根螺钉治疗胸腰椎Chance骨折的临床研究

Clinical Study of Short-segment Pedicle Screw Fixation of Thoracolumbar Chance Fractures

目的:观察短节段椎弓根螺钉治疗胸腰椎Chance骨折的临床效果。方法:胸腰椎Chance骨折25例行短节段椎弓根螺钉固定骨折,骨折节段:T112例,T129例,L13例,L211例。结果:25例随访均在8个月～5年,术后既无全身瘫痪病例,也无死亡病例。结论:胸腰椎Chance骨折经后路短节段椎弓根螺钉内固定手术治疗,效果好,建议临床推广应用。

Objective：To discuss the effects of short segment pedicle screw in treatment of chance fracture of thoracolumbar.Methods：Twenty-five patients with chance fracture of thoracolumbar were conducted with short segment pedicle screw,including of two cases in T 11,nine cases in T 12,three cases in L 1 and 11 cases in L 2.Results：The total 25 patients were followed up form 8 month to 5 years,and the results showed there were no paralyzed cases,and no died cases.Conclusions：By short segment pedicle screw,the chest lumbar vertebra chance bone fracture can be treated in the fixed surgery,which should be suggested in clinical experiences.