AF内固定系统在胸腰段椎体骨折中的应用研究

AF Internal Fixation System in the Thoracic and Lumbar Fracture

目的:探讨AF内固定系统治疗胸腰段椎体骨折的临床疗效。方法:对68例胸腰段椎体骨折患者,行AF钉内固定及椎板减压后的临床资料,进行回顾分析和总结。结果:68例患者X线片显示椎体前、中柱高度恢复良好,椎体前缘高度手术前平均48%,手术后恢复到89%,Cobb角手术前平均35°,手术后恢复到平均9°。除6例完全截瘫及6例E级病例外,其余患者术后神经功能按Frankel标准均有Ⅰ-Ⅱ级以上改善。结论:AF内固定系统在治疗胸腰椎骨折合并脊髓损伤时复位准确、操作简单、疗效可靠,是实用且理想的方法,值得推广应用。

Objective：To explore the clinical efficacy of atlas fixator within a fixed system in the treatment of thoracolumbar vertebral fractures.Methods：To analyze retrospectively the clinical data of 68 cases that thoracolumbar fracture the line atlas fixator nail fixed and laminectomy.Results：The 68 cases of X-ray showed vertebral body,in the column height is significantly restored,does not appear scoliosis.Anterior vertebral height recovery from the preoperative average of 49% to 92%,the Cobb angle of recovery from the preoperative average of 34 ° to a postoperative average of 9°.In addition to the six cases of complete paraplegia and six cases of E-class cases,and the remaining patients with postoperative neurologic Frankel standards are Ⅰ-Ⅱ level and above improvements.Conclusion：AF internal fixation system in the treatment of thoracolumbar fractures with spinal cord injury reset accurate,is easy to operate,effective and reliable.It is a practical and ideal way to be widely applied.