经皮椎弓根螺钉内固定技术的研究进展

Research progress of percutaneous pedicle screw fixation

脊柱骨折在全身骨折中十分常见,其中胸腰椎骨折最为多见。胸腰椎骨折合并脊髓损伤通常需要椎管减压,但是对于胸腰椎骨折不合并脊髓损伤,传统开放式正中入路椎弓根螺钉内固定术(OPSF)是一种行之有效且广泛应用于临床的治疗方法。在脊柱外科领域,微创手术是近二十年来兴起的一种治疗胸腰椎骨折的新方法。脊柱微创手术如经皮椎弓根螺钉内固定术(PPSF)因具有创伤小、术中出血少、术后疼痛轻、恢复快等优点,逐渐成为治疗不稳定胸腰椎骨折的一种新方法,并取得良好疗效。

Spinal fractures are very common in general fractures,of which thoracolumbar fractures are the most common.Thoracolumbar fractures with spinal cord injury usually require spinal canal decompression,but for thoracolumbar fractures without spinal cord injury,the traditional open pedicle screw fixation is an effective and widely used clinical treatment method.In the field of spinal surgery,minimally invasive surgery is a new method of treating thoracolumbar fractures that has emerged in the past two decades.Minimally invasive spine surgery,such as percutaneous pedicle screw fixation,has gradually become a new method of treating unstable thoracolumbar fractures due to its advantages of small trauma,little intraoperative bleeding,mild postoperative pain,and quick recovery,and achieved good results.