胸腰椎跳跃型骨折治疗方法的选择及其临床疗效

发布时间：2018-05-15 23:22

本文选题：胸腰椎 + 跳跃性骨折　；参考：《中国现代医学杂志》2017年28期

【摘要】：目的探讨胸腰椎跳跃型骨折治疗方法的选择及其临床疗效。方法回顾性分析西安交通大学医学院附属红会医院2010年12月~2014年1月共收治的53例胸腰椎跳跃型骨折患者。根据患者骨折类型及骨密度检测结果分别选择保守治疗、微创经皮内固定、椎体成形、开放复位固定及联合手术等不同方式治疗。总结患者临床资料及术前、术后及末次随访时X射线及CT片,对于有神经功能损伤患者,采用AISA神经功能分级评价手术前后神经功能状况。结果所有病例术后均获得12~24个月随访,53例患者伤口均I期愈合,未出现骨折不愈合,内固定松动断裂情况。合并脊髓损伤者脊髓神经功能有不同程度恢复。结论对于跳跃性胸腰椎骨折患者,根据患者伤情及骨密度情况采用个体化方案治疗,可取得满意的治疗效果。
[Abstract]:Objective to explore the choice of treatment method and clinical effect of thoracolumbar jumping fracture. Methods 53 cases of thoracolumbar leaping fracture treated in Honghui Hospital affiliated to Medical College of Xi'an Jiaotong University from December 2010 to January 2014 were retrospectively analyzed. Conservative treatment, minimally invasive percutaneous fixation, vertebroplasty, open reduction and fixation and combined surgery were selected according to the type of fracture and bone mineral density. The clinical data and preoperative, postoperative and last follow-up X-ray and CT films were summarized. For patients with nerve function injury, the neurological function before and after operation was evaluated by AISA neural function grading. Results all the cases were followed up for 12 ~ 24 months. All the 53 cases were healed in the first stage without fracture nonunion and loose fracture of internal fixation. In patients with spinal cord injury, the neurological function of spinal cord recovered to varying degrees. Conclusion for the patients with leaping thoracolumbar fracture, individualized regimen can be used according to the condition of injury and bone mineral density, and satisfactory results can be obtained.
【作者单位】：西安交通大学医学院附属红会医院脊柱外科;
【分类号】：R687.3

【相似文献】