椎弓根钉棒系统在Tile B型骨盆损伤中的新应用

New Application of Pedicle Screw-Rod System in Tile B Type Pelvic Injury

目的探讨在Tile B型骨盆损伤中应用椎弓根钉棒系统作为内固定架固定术的手术方法和疗效。方法回顾分析该院2013年11月—2015年10月收治的9例Tile B型骨盆损伤选用椎弓根钉棒系统作为内固定架,实施经髂前下棘固定术治疗的临床资料。结果所有病例获得随访,随访平均时间6.2个月,采用Tornetta骨折复位标准进行评价,优5例、良3例、可1例。所有患者满意度高,1例单侧发生股外侧皮神经损伤,术后2个月恢复。内固定架于术后4-6个月取出,骨折无再移位。结论应用椎弓根钉棒系统行经髂前下棘固定术治疗Tile B型骨盆损伤,手术创伤小,固定牢靠,早期活动方便,效果满意,患者满意度高,是治疗Tile B型骨盆损伤的一个较好选择。

Objective To investigate the operative method and effects of pedicle screw-rod system as internal fixation device immobilization in the treatment of Tile B Type pelvic injury. Methods Clinical data in 9 patients with Tile B type pelvic injury, who received anterior inferior iliac spine immobilization using pedicle screw-rod system as internal fixation devices during November 2013 to October 2015, were reviewed and analyzed. Results All cases were followed-up, with the average follow-up duration of 6.2 months. Tornetta fracture reduction standard was used to assess, evaluating 5 cases of superiority, 3 cases of well and 1 case of common. All patients showed highly satisfactory. Lateral cutaneous nerve of thigh injury occurred in 1 patient＇s single side, which recovered 2 months after the surgery. The internal fixation devices were removed 4 to 6 months after surgeries, with no displacement fracture. Conclusion Pedicle screw-rod system has been used for the anterior inferior iliac spine immobilization in the treatment of Tile B type pelvic injury, which has displayed little surgical trauma, reliable fixation, early convenient exercise, satisfactory effects, high patient satisfaction; hence, it is a superior choice for the treatment of Tile B type pelvic injury.