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经后路椎体横断截骨矫正术治疗陈旧性椎体骨折

Treatment of old fracture of vertebrae through posterior approach and across medial vertebrae osteotomy

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【作者】 张怀成姜义贾正宇曾祥嘉吴盛强吴金德

【Author】 Zhang Huaicheng, Jiang Yi, Jia Zhengyu, Zeng Xiangjia, Wu Shengqiang, Wu Jinde (Department of Orthopaedics,The 3rd Peoples Hospital of Neijiang, Neijiang, Sichuan 641000)

【机构】 内江市第三人民医院骨科!四川内江641000核工业部成都四一六医院骨科!四川成都610051资中县人民医院骨科!四川资中641200

【摘要】 目的 介绍自行设计的经后路椎体横断截骨矫正术治疗陈旧性胸腰椎骨折的方法和疗效。方法 后路正中切口,咬除骨折椎一侧或双侧横突,切除一侧椎弓根。凿除骨折椎后凸部分椎体,直视下从椎体腰部横行切断,用RF 钉复位固定、植骨融合。临床应用15 例。结果 术后椎体畸形完全矫正,脊神经功能均有不同程度恢复。结论 该手术难度不大,损伤小,椎体、脊柱畸形矫正满意,脊柱的稳定性和运动功能不受到大的破坏。

【Abstract】 Objective To discuss a self designed operative technique,across the medial vertebrae,through posterior approach,for treating the old fracture of vertebrae and results of treatment. Methods Make a longitudinal incision over the spinous processes,cut off the unilateral or bilateral cross process of the fracture vertebrae,and carve the projection behind it,sever crossly the medial vertebrae,correct the deformity in spine by RF and fuse the cross sections. 15 cases were treated by the technique. Results The deformity is corrected and the nerve function inproved.Conclusion The technique is not difficult and only shows a little impairment.The deformity is corrected satisfactorily.Few stability and function of spine are damaged.

【基金】 四川省卫生厅科学基金资助!项目( 编号:982056)
  • 【文献出处】 临床骨科杂志 ,JOURNAL OF CLINICAL ORTHOPAEDICS , 编辑部邮箱 ,1999年03期
  • 【分类号】R683.2
  • 【被引频次】5
  • 【下载频次】29
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