【摘要】 目的:经后路采用AF和钉棒系统复位固定胸腰椎屈曲压缩型骨折,分两组第1组后路复位固定经椎弓根行椎体内植骨;第2组单纯后路复位固定,两组对照评价脊柱矫正程度。方法:对接受手术的两组患者总计28例术前、术后的影像学资料进行总结,并对结果进行分析。结果:28例患者经一年随访,测出X光片术前和术后伤椎前缘平均高度,两组术前平均高度为17 mm,术后1周平均为31 mm;术后一年第1组平均为29 mm,cobbs角平均增加2°,第2组平均为27mm,cobbs角平均增加4°。结论:后路复位固定并经椎弓根椎体内植骨融合治疗胸腰椎屈曲压缩型骨折是可行的,与后路单纯复位固定相比复位好,远期椎体高度丢失小;可最大范围恢复脊柱生理曲度。更多还原

【Abstract】 Objective:The use of AF and posterior screw-road system to reset and fix the flexion of thoracolumbar vertebral compression fractures,The cases were divided into two groups;Group One by posterior reduction and fixation with pedicle bone graft vertebral line;Group Two is a simple reduction and fixation of the posterior,and the two groups were compared to assess the extent of spinal correction.Method:Two groups of surgery patients with a total of 28 cases of preoperative and postoperative imaging data summary and analysis of the results.Result:28 cases of patients with one-year follow-up,X-ray measured preoperative and postoperative wound average vertebral height of the front,The mean preoperative height of 17 mm,after 1 week an average of 31 mm;after one year Group 1 average of 29mm,cobs angle increased by an average of 2 °,Group 2 an average of 27mm,cobs angle increased by an average of 4 °.Conclusion:Posterior reduction and fixation by pedicle vertebral fusion in the treatment of thoracic and lumbar flexion compression fracture is feasible,a simple reduction and fixation with posterior reduction compared to a good,long-term loss of vertebral height small;can to restore the maximum extent physiological spinal curvature.更多还原