摘要
目的 报告应用改良哈氏棒治疗胸腰椎骨折的体会 ,探讨改良哈氏棒的优缺点。方法 以椎弓根螺钉替代哈氏棒的下钩 ,棒钉组合治疗胸腰椎骨折 43例。结果 本组病人术后骨折复位满意 ,术后半年 34例随访 ,2 5例Frankel分级有Ⅰ -Ⅱ级提高。除早期 1例脑脊液漏和后期 1例 1侧断钉外 ,无其它并发症。结论 改良哈氏棒可增加对前、中柱的作用 ,提高抗旋转和水平作用力 ,操作方便省时 ,可减少并发症 ,尤其适合于中上胸椎的骨折治疗。
Objective The authors reported the treatment of fracture of the thoracic-lumbar vertebrae using advanced Harrington bar,and discussed the value of the advanced Harrington Bar.Methods The transp edical screws had been replaced Harringtons lower clasp.The combination of the bar and clasp had been used to treat in 43 patients.Results All fracture had satisfactory reduction.Thirty four patients had been followed up for 6 months. Twenty-five patients had Ⅰ-Ⅱ score ascended by the Frankels score.Except for one case of leakage of cerebrospinal fluid and broken bar,there were no other complications.Conclusion Advanced harrington bar could enhanced the force of anterior-media column of spine,increase spinal anti-rotation and horizontal force.At the same time,its operation procedure is simple,and has less complications.It is pathculatily useful to treat fracture of upper-media thoracic vertebrae.
出处
《急诊医学》
CSCD
2000年第2期82-83,共2页
关键词
胸腰椎骨折
脱位
哈氏棒
骨折内固定术
Spinal fracture Thoracic/lumbar vertebra Harrington bar Transpedical screw Internal fixation