中医牵引按压复位结合微创经皮椎弓根螺钉固定治疗无神经障碍胸腰段骨折

TCM reset press the traction combined with minimally invasive percutaneous pedicle screw fixation in treatment of neurological disorders, thoracic and lumbar fractures

目的：探讨中医牵引按压复位结合微创经皮椎日根螺钉内固定术治疗胸腰椎骨折的可行性及其疗效。方法：自2010年9月至2012年6月，选择15例损伤平面以下无神经功能损害，无需进行椎板减压的单纯胸腰段骨折患者，首先进行中医牵引按压复住后，在c形臂x线机定位下确定需要固定的椎日根根部，做4个1．5cm长的切口，固定均在4个小切口内完成。结果：所有病例均获随访，时间3～20个月，平均10个月。术后患者均恢复椎体高度并矫正椎体后凸畸形。平均手术时间约1h，平均出血量约80ml。结论：中医牵引按压复往结合微创经皮椎日根螺钉内固定技术操作简便、安全可靠，具有复位好、创伤小、出血少、疼痛轻、恢复快、住院时间短等优点。

Objective：To explore Chinese medicine traction pressing reset eombined with minimally invasivc percutaneous ped[cle screw fixation for the treatment of thoracic and lumbar fracture the feasibility and therapeutic effect of. Methods： From 2010 September to 2012 June, 15 cases of below the level of injury without neurological impairment, without the need for decompression of simple thoracolumbar spinal fracture with traditional Chi- nese medicine, first traction pressing after reset, in the C arm X--ray machine positioning in determining the need for fixed pedicle of vertebral arch root, do 4 1.5 cm long incisions, fixed in 4 small incisions within. Result：All cases were followed up, time 3 -20 months, average 10 months. All patients restore vertebral body height and correction of vertebral deformity. The average operation time of about 1 h, average bleeding volume of about 80 mL. Conclusion： The traditional traction pressure reduction combined with minimally invasive percutaneous pedicle screw fixation technique is simple, safe and reliable, with less trauma, less bleeding, less pain, rapid recovery, shorter hospitalization time etc.