【摘要】 目的 :比较几种后路内固定治疗胸腰椎爆裂型骨折的效果。方法 :12 1例胸腰椎爆裂型骨折伴脊髓损伤的患者 ,随机分组 ,分别应用Harrington、Dick、RF、DRFS治疗胸腰椎爆裂型骨折 ,观察神经恢复及骨折复位内固定情况。结果 :经平均 4年 8个月的随访 ,Harrington、Dick、RF、DRFS治疗胸腰椎爆裂型骨折均有明显的复位固定作用 ,RF和DRFS在矫正后突畸形、恢复病椎高度上较Dick、Harrington更好 ,神经功能恢复上无明显差异。结论 :RF和DRFS复位固定效果上优于Dick、Harrington ,在临床应用上应根据病人的具体情况而定。更多还原

【Abstract】 Objective:To compare the outcomes of thoracolumbar bursting fractures treated by four kinds of internal fixation instrumentation (Harrington?Dick?RF system and DRFS). Methods: 121 Patients were randomized into Harrington group(25cases)?Dick group(29 cases)?RF group(19 cases) and DRSF group (49 cases). Radiographic and neurologic function evaluation were obtained on admission and postoperatively. Results: 121 patients were followed up for an average of 56 months. All the four kinds of methods got satisfactory reductive fixation, yet RF system and DRFS were more effective on kyphosis correction and the anterior body height recovery than Dick and Harrington. Conclusion: RF system and DRFS were superior to Dick and Harrington in effect on reductive fixation.更多还原