| 彭松明,黄奎.经椎间孔椎体间植骨治疗下腰椎爆裂性骨折[J].脊柱外科杂志,2013,11(5):261-263. |
经椎间孔椎体间植骨治疗下腰椎爆裂性骨折  点此下载全文 (Fulltext) |
| 彭松明 黄奎 |
| 434000 湖北, 长江大学附属第一医院骨科;434000 湖北, 长江大学附属第一医院骨科 |
| 基金项目： |
| DOI：10.3969/j.issn.1672-2957.2013.05.002 |
| 摘要点击次数: 876 |
| 全文下载次数: 676 |
| 摘要： |
| 目的 探讨在下腰椎爆裂性骨折中应用单一后路经椎间孔椎体间植骨融合术重建椎体前中柱的有效性。方法 2009年1月~2011 年6月，采用单一后路切开复位椎弓根内固定经椎间孔椎体间植骨融合术治疗下腰椎爆裂性骨折19例。分别评价术前、术后、末次随访时的影像学指标变化，及术前与术后末次随访时神经功能变化。结果 19例患者平均随访15.6 个月。所有患者术后未发生切口感染、神经功能损伤及内固定器松动断裂等并发症。末次随访时18例患者证实椎间融合，19例患者术前平均伤椎高度为正常椎体高度的（40.62±12.32）%，术后恢复至（96.52±10.62）%，末次随访时为（95.43%9.54）%。腰椎前凸角术前32.2°±5.1°，术后38.4°±5.2°，末次随访时为38.4°±7.2°。末次随访时伴有神经功能障碍的患者均有1级以上的恢复。结论 下腰椎爆裂性骨折行后路椎弓根螺钉内固定经椎间孔椎体间植骨融合术，能完成短节段三柱固定，同时修复了前柱及矫正脊柱后凸，取得满意的骨性融合率。 |
| 关键词：腰椎 脊柱骨折 骨移植 脊柱融合术 |
| Transforaminal lumbar interbody fusion for low lumbar burst fractures Fulltext |
| PENG Song-ming HUANG Kui |
| Department of Orthopaedics, First Affiliated People's Hospital, Yangtze University, Jingzhou 434000, Hubei, China;Department of Orthopaedics, First Affiliated People's Hospital, Yangtze University, Jingzhou 434000, Hubei, China |
| Fund Project: |
| Abstract: |
| Objective To evaluate the effect of transforaminal lumbar interbody fusion (TLIF) to support the anterior and middle column for the lower lumbar burst fractures using. Methods From January 2009 to Jun 2011, a total of 19 patients with lower lumbar burst fractures was treated with TLIF. After posterior reduction and short-segmental fixation, through a TLIF approach support the anterior column by using a single dorsal approach. The radiological and clinical outcome was assessed before, after operation and at final follow-up. Results The mean follow-up was 15.6 months. In this series no deep wound infections, aggravation of neurological function impairment and complication of internal fixation instrument loosening and breaking happened. Postoperative 12 months, 18 cases demonstrated anterior interbody fusion. The intervertebral height of fractured vertebral body increased from(40.62±12.32)% preoperative to (96.52±10.62)% postoperative, and(95.43%9.54)% at final follow-up. Meanwhile, the lumbar lordosis angel was 32.2°±5.1°, 38.4°±5.2° and 38.4°±7.2° preoperative, postoperative, ant at final fellow-up respectively. Cases with neurological deficit (5 in 19 cases) had obtained improvement of neurological function by 1 grade at final follow-up. Conclusion From a single posterior approach using transforaminal lumbar interbody fusion and pedicle screw were able to achieve short-segmented 3 columns fixation and restored the weight-bearing capability of the anterior column with satisfactory fusion. |
| Keywords:Lumbar vertebrae Spinal fractures Bone transplantation Spinal fusion |
|
|
HTML
查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
|
|
