【摘要】 [目的]探讨经后路短节段融合治疗A3.1型胸腰段爆裂骨折的疗效。[方法]对2005年2月至2010年2月间38例胸腰段A3.1型骨折伴有脊髓神经损伤的患者,行后路椎弓根螺钉撑开、复位,上或下终板骨折相邻节段后外侧和经椎弓根椎体内植骨。1年后拆除内固定,对手术疗效进行总结和随访。[结果]随访1～5年,平均2年。后凸成角术前平均26°,术后5°,椎体前高术前平均丢失48%,术后恢复到94%。随访无椎体前高及后凸矫正角度丢失,38例神经功能2例A级除外,其余均有Frankel(2～3)级改善。[结论]该术式减少了融合节段,简单、安全、合理、疗效好,最大限度保留了脊柱的运动节段,减少了邻椎病,符合现代治疗理念。更多还原

【Abstract】 [Objective] To explore the cure effect of short posterior segment fusion on A3.1 chest-waist burst fracture.[Method] To 38 cases of said patients,make posterior vertebral pedicle repostion,make bone graft in vertebral pedicle.Remove the fixation after 1 year,make summary and follow-up to the operational effect.[Result] Follow up for average 2 years,the rear protruding angle was 26°before operation,and 5°after operation;the front vertebral protrusion lost 48% before operation,recovered to 94% after operation;38 cases improved nerve function at Frankel(2～3) level.[Conclusion] The operation reduces fusion,simple,safe,reasonable,with good cure effect,largely preserving spinal sports function,decreasing neighboring vertebral disease,in accordance with modern therapy idea.更多还原