髂腰固定联合横跨钢板并骶管减压治疗腰椎-骨盆分离18例疗效分析

Therapeutic Effect Analysis of Lumbopelvic Fixation Combined with Posterior Iliosacral Plate and Sacral Canal Decompression in the Treatment of 18 Cases with Spinopelvic Dissociation

目的探讨采用腰髂固定联合横跨钢板治疗脊柱-骨盆分离损伤的疗效。方法对2012年6月2018年6月国龙医院脊柱外科收治的18例脊柱-骨盆分离损伤患者进行治疗结果评估。功能恢复采用Majeed评分进行评价,神经恢复采用Gibbons标准评价。结果18例患者均获得随访。末次随访功能恢复情况采用Majeed评分:其中优3例、良8例、可5例、差1例,优良率61.1%。18例患者中,11例肢体感觉运动功能完全恢复,6例部分恢复,1例无明显恢复,末次随访均无内固定物失效、骨不愈合等并发症。结论腰髂固定联合横跨钢板并骶管减压是治疗腰椎-骨盆分离的有效方法。

Objective To investigate the effect of lumbopelvic fixation combined with posterior iliosacral plate in the treatment of spinopelvic dissociation injury.Methods Eighteen patients with spine pelvis separation injury from June 2012 to June 2018 were evaluated. The function recovery was evaluated by Majeed score and nerve recovery was analyzed by Gibbons standard. Results All 18 patients were followed up. Majeed score was used for functional recovery in the last follow-up: 3 cases were excellent,8 cases were good,5 cases were fair,and 1 case was poor,with an excellent and good rate of 61.1%. Nine of the 18 patients had a complete recovery of sensory and motor function,7 patients had a partial recovery,2 patients had no obvious recovery,1 patient had incision infection,and there were no complications such as fixation failure or bone nonunion in the last follow-up. Conclusion Lumbopelvic fixation combined with posterior iliosacral plate and sacral canal decompression is an effective method to treat spinopelvic dissociation.