髂腰固定治疗合并骶骨骨折的骨盆后环损伤

发布时间：2018-06-07 16:58

本文选题：骶骨 + 骨折　；参考：《军事医学》2017年03期

【摘要】：目的探讨髂腰固定治疗合并骶骨骨折的骨盆后环损伤的临床疗效。方法回顾性地分析2011年1月至2013年12月河南省南阳市中心医院及兰州军区总医院骨科收治的合并骶骨骨折的骨盆后环损伤患者21例,均采用后路髂腰固定术。结果21例均获得随访,时间6~18个月,X线片提示骨折愈合良好。术后Gibbons评分为1.4~2.56分。其中10例神经功能完全恢复(术前2.9分,术后1.2分),3例明显改善(术前3.5分,术后1.9分),1例效果差(术前3.9分,术后2.59分)。均无切口感染、钉棒断裂、退钉、骨折再移位等并发症。结论髂腰固定可有效复位、固定合并骶骨骨折的骨盆后环损伤,达到三维固定,恢复骨盆本身及脊柱-骨盆的稳定性,对于合并腰骶神经根损伤者宜同时早期行减压手术。
[Abstract]:Objective to investigate the clinical effect of iliolumbar fixation in the treatment of pelvic posterior ring injury complicated with sacral fracture. Methods from January 2011 to December 2013, 21 cases of pelvic posterior ring injury complicated with sacral fractures were analyzed retrospectively. All patients were treated with posterior iliolumbar fixation. The patients were treated by the Department of Orthopaedics of Nanyang Central Hospital and Lanzhou military region General Hospital from January 2011 to December 2013. Results 21 cases were followed up for 6 ~ 18 months. Postoperative Gibbons score ranged from 1.4 to 2.56. Among them, 10 cases were completely recovered (2.9 points before operation, 3 cases improved significantly at 1.2 minutes after operation (3.5 points before operation, 1 case with 1.9 minutes after operation) (3.9 points before operation, 2.59 minutes after operation). There were no complications such as infection of incision, fracture of nail rod, devitalization of nail and redisplacement of fracture. Conclusion iliolumbar fixation can be used to effectively reduce the posterior ring injury of the pelvis associated with sacral fracture, to achieve three-dimensional fixation, and to restore the stability of the pelvis and the spine and pelvis. Decompression should be performed at the same time for those complicated with lumbosacral nerve root injury.
【作者单位】：南阳市中心医院骨科/郑州大学附属医院南阳医院骨科;兰州军区兰州总医院全军骨科中心;
【基金】：国家自然科学基金面上资助项目(81371983)
【分类号】：R687.3

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