【摘要】 目的:探讨支具外固定在脊柱内固定术后康复治疗中的作用。方法:采用颈围、头颈胸热塑支具和胸腰热塑支具等分别用来辅助治疗颈椎骨折脱位和胸腰椎骨折等内固定术后患者236例,其中颈围外固定87例,头颈胸支具(CTO)35例,胸腰椎支具(TLSO)114例,观察患者的脊柱的植骨骨融合率和内固定器材的失效率。结果:221例获得随访,平均时间15.3个月。脊柱损伤节段的融合时间平均5.1个月,有4例出现植骨处未融合,融合率为98.2%。有5例后路内固定的器材发生断裂松动。无并发症发生。结论:支具外固定治疗脊柱内固定术后的患者可早期下床活动进行功能锻炼,减少了卧床并发症和骨折病的发生,可辅助内固定器材加强脊柱的稳定性,减少内固定器材的疲劳性断裂的发生率。更多还原

【Abstract】 AIM:To investigate the effect of the external fixation with orthosis in the rehabilitative treatment after the internal fixation of spine. METHODS:Totally 236 patients with cervical vertebra fracture and dislocation and thoracic lumbar vertebra fracture after treatment of internal fixation of spine were treated with assistant therarpy,including cervical orthosis,head cervical thoracic hot shape orthosis and thoracic lumbar hot shape orthosis.Among them,there were 87 cases of external fixation with cervical orthosis,35 cases of head cervical thoracic hot shape orthosis(CTO) and 114 cases of thoracic lumbar hot shape orthosis(TLSO).The fusion rate of the transplanted bone in the spine and the failure rate of the internal fixation device were observed. RESULTS:A total of 221 patients were followed up with a mean time of 15.3 months.The mean fusion time of the injured spinal segment was 5.1 months,there were 4 cases of non fusion,and the fusion rate was 98.2%. There were 5 of broken implants after posterior internal fixation.No patients had complications. CONCLUSION:Externally fixated with orthosis,the patients after the treatment of internal fixation of spine could excercise out of bed earlier,with less clinical complications of sickbed and fracture.The external fixation can help the internal fixation strengthen the spinal stabilization and reduce the fatigue broken rate of the implants.更多还原