[1]李长青,罗刚,周跃,等.微创三节段经皮椎弓根螺钉内固定选择性治疗胸腰椎骨折[J].第三军医大学学报,2009,31(22):2284-2287.
 LI Chang-qing,LUO Gang,ZHOU Yue,et al.Application of mini-invasive percutaneous pedicle screw fixation in thoracolumbar fracture using multi-level Sextant system[J].J Third Mil Med Univ,2009,31(22):2284-2287.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
31卷
期数:
2009年第22期
页码:
2284-2287
栏目:
论著
出版日期:
2009-11-30

文章信息/Info

Title:
Application of mini-invasive percutaneous pedicle screw fixation in thoracolumbar fracture using multi-level Sextant system
作者:
李长青罗刚周跃王建初同伟张正丰
第三军医大学新桥医院骨科
Author(s):
LI Chang-qing LUO Gang ZHOU Yue WANG Jian CHU Tong-wei ZHANG Zheng-feng
Department of Orthopaedics, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China
关键词:
脊柱骨折胸椎腰椎微创经皮椎弓根螺钉内固定术
Keywords:
spinal fracture thoracic vertebra lumbar vertebra mini-invasive percutaneous pedicle screw fixation
分类号:
R616;R683.2;R687.32
文献标志码:
A
摘要:
目的  评价微创三节段经皮椎弓根螺钉内固定术治疗胸腰椎骨折的效果。  方法  选择2008年6月至2009年3月在我科住院治疗的为42例胸腰椎骨折无神经功能损害患者分为三节段经皮椎弓根螺钉内固定微创手术组 [共16例,男性11例,女性5例,年龄(40.2±8.6)岁] 和开放手术组 [共26例,男性17例,女性9例,年龄(42.4±9.3)岁],对比分析手术切口、手术时间、出血量以及后凸畸形矫正率等。  结果  与开放手术组相比,微创手术组手术切口明显缩小[(16.5±1.8)、(10.1±1.0) cm,P<0.05], 术中出血量[(346.2±138.7)、(81.3±21.9) ml, P<0.01] 及术后引流量[(138.6±46.5)、(13.7±4.3 ) ml, P<0.01]均明显减少,手术时间明显缩短[(2.5±0.7)、(1.2±0.6) h, P<0.05]。微创手术组手术前后Cobb’s角 [(15.4±5.1)°、 (3.8±2.8)°, P<0.01]、椎体矢状面指数[( 19.7±103)°、 (7.3±9.1)°, P<0.01] 和伤椎椎体前缘高度[( 63.2±14.6)%、(86.4±6.9)%, P<0.01] 均显著恢复。  结论  在严格掌握手术适应证的前提下,微创三节段经皮椎弓根螺钉内固定术是治疗胸腰椎骨折的较好选择。
Abstract:
Objective   To assess the therapeutic effect of mini-invasive percutaneous pedicle screw fixation in thoracolumbar fracture using multi-level Sextant system.    Methods   From June 2008 to March 2009, 42 thoracolumbar fracture patients in our department were selected. They were divided into 2 groups: 16 cases (11 males and 5 females, age 40.2±8.6) were included in the multi-level Sextant percutaneous pedicle screw fixation group and 26 cases(17 males and 9 females, age 42.4±9.3)were in the open pedicle screw fixation group. The incision size, surgical time, surgical blood loss, correction rate of kyphosis of the 2 groups were compared.    Results   Compared with the open pedicle screw fixation group, patients in the multi-level Sextant percutaneous pedicle screw fixation group experienced a significantly smaller incision size(16.5±1.8 cm vs 10.1±1.0 cm, P<0.05), a significant decrease in surgical blood loss (346.2±138.7 ml vs 81.3±21.9 ml, P<0.01) and surgical draining loss (138.6±46.5 ml vs 13.7±4.3 ml, P<0.01). Surgical time shortened significantly (2.5±0.7 h vs 1.2±0.6 h, P<0.05). There were significant postoperative improvement in Cobb’s angle [(15.4±5.1)°  vs (3.8±2.8)°, P<0.01], sagittal index [(19.7±10.3)°  vs(7.3±9.1)°, P<0.01] and anterior height [(63.2±14.6) % vs (86.4±6.9) %, P<0.01] of fracture vertebral body in the multi-level Sextant percutaneous pedicle screw fixation group.    Conclusion   With a good command of the surgical indications, mini-invasive percutaneous pedicle screw fixation using multi-level Sextant system is a good therapeutic choice for patients with thoracolumbar fracture.

参考文献/References:

李长青,罗刚,周跃,等.微创三节段经皮椎弓根螺钉内固定选择性治疗胸腰椎骨折[J]. 第三军医大学学报,2009,31(22):2284-2287.

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更新日期/Last Update: 2009-11-23