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[1]陈新用,杨庆,翟启麟,等.经皮微创长节段固定不稳定胸腰椎骨折疗效分析[J].国际骨科学杂志,2021,01:54-58.
　CHEN Xinyong,YANG Qing,ZHAI Qilin,et al.Percutaneous minimally invasive fixation of unstable thoracolumbar fractures with long segment pedicle screws[J].International Journal of Orthopaedics,2021,01:54-58.
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经皮微创长节段固定不稳定胸腰椎骨折疗效分析(PDF)

《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:
2021年01期
页码:
54-58
栏目:
临床研究
出版日期:
2021-02-10

文章信息/Info

Title:
Percutaneous minimally invasive fixation of unstable thoracolumbar fractures with long segment pedicle screws
作者:
陈新用; 杨庆; 翟启麟; 蒋凯; 陶星光; 龚东亮
201700 上海, 复旦大学附属中山医院青浦分院骨科
Author(s):
CHEN Xinyong;  YANG Qing;  ZHAI Qilin;  JIANG Kai;  TAO Xingguang;  GONG Dongliang.
Orthopedic Surgery,Qingpu Branch,Zhongshan Hospital affiliated to Fudan University, Shanghai 201700, China
关键词:
微创;  胸腰椎骨折;  内固定
Keywords:
Minimally invasive;  Thoracolumbar fracture;  Internal fixation
分类号:
-
DOI:
10.3969/j.issn.1673-7083.2021.01.013
文献标识码:
-
摘要:
目的 探讨经皮微创椎弓根螺钉长节段内固定治疗胸腰椎骨折的临床疗效。方法 对22例无神经症状的胸腰椎不稳定性骨折患者采用经皮微创椎弓根螺钉系统进行撑开复位长节段内固定。观察手术时间、术中出血情况,手术前后椎体前缘高度、Cobb角改变,手术后腰椎恢复情况。结果 手术时间(60±12)min(45～90 min),术中出血量(15±7)mL(10～40 mL),术后随访(20±6)个月(12～36)个月。术后12～18个月拆除内固定14例。Cobb角术前、术后3 d、末次随访时分别为17.86°±2.42 °、2.85 °±0.86 °、3.88 °±1.05 °,术后3 d较术前改善(P<0.05),末次随访时较术前改善(P<0.05)。椎体前缘高度术前、术后3 d、末次随访时分别为(17.19±2.33)mm、(29.51±2.62)mm、(28.99±2.58)mm,术后3 d较术前改善(P<0.05),末次随访时较术前改善(P<0.05)。末次随访椎体前缘塌陷恢复率为(95.4±11.5)%,术后3 d Cobb角纠正率为(78.2±8.6)%。疼痛视觉模拟评分术前、术后3 d、末次随访时分别为(8.3±0.7)分、(5.2±0.5)分、(1.8±0.4)分,术后3 d较术前改善(P<0.05),末次随访时较术前改善(P<0.05)。Oswestry功能障碍指数术前、术后3 d、末次随访时分别为(84.3±7.2)%、(54.2±3.2)%、(8.7±0.4)%,术后3 d较术前改善(P<0.05),末次随访时较术前改善(P<0.05)。所有病例未发生神经损伤、内固定失败、腰背部疼痛及腰椎失能。结论 经皮微创椎弓根螺钉长节段内固定治疗不稳定性胸腰椎骨折,具有安全有效、损伤小、出血少、恢复快且美观的优点。
Abstract:
Objective To investigate the clinical results of percutaneous minimally invasive fixation for unstable thoracolumbar fractures with long segment pedicle screw.Methods A total of 22 patients suffering thoracolumbar unstable fractures without neurological s

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备注/Memo

备注/Memo:
基金项目: 上海市青浦区卫生和计划生育委员会科研课题(W2018-16); 上海市青浦区卫生和健康委员会学科人才专项资助(WY2019-02)
通信作者: 杨庆 E-mail: yangqing0011@126.com
经皮微创长节段固定不稳定胸腰椎骨折疗效分析
更新日期/Last Update: 2021-02-10