李立钧;杨明杰;潘杰;祝建光;亓东铎;谭军;

• 1:上海市东方医院骨科

摘要(Abstract)：

背景:治疗不稳定的胸腰椎骨折,单纯后路复位固定常不足以维持前柱稳定性,导致后凸畸形矫正丢失或者内固定失效。目的:探讨经皮椎弓根螺钉结合前路椎体内植骨治疗胸腰椎骨折的有效性。方法:采用经皮椎弓根螺钉Viper系统结合小切口前路椎体内植骨治疗无神经功能损害A型胸腰椎骨折14例,随访观察伤椎的椎体前缘高度、矢状位后凸角变化等影像像学指标以及临床疗效。结果:所有患者均获得随访,平均14个月,临床疗效判定优良,x线显示,骨折均获得愈合,无内固定物松动折断失效。影像学测量骨折椎体前缘高度术前71.7%±7.5%,术后即刻94.7%±3.5%,末次随访时88.7%±4.2%。后凸Cobb角术前为19.6°±3.4°,术后5.0°±2.7°,末次随访时9.9°±2.6°。结论:经皮椎弓根内固定联合微创前路椎体内植骨作为微创的手术方式可以有效地应用于胸腰椎骨折治疗,取得满意的早期疗效。

关键词(KeyWords)： 脊柱骨折;微创性;骨折内固定术

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 李立钧;杨明杰;潘杰;祝建光;亓东铎;谭军;

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