中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (48): 9065-9068.doi: 10.3969/j.issn.1673-8225.2010.48.032

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

经伤椎椎弓根螺钉置入内固定治疗胸腰椎骨折　

于长水，杨卫良　　   

  1. 哈尔滨医科大学第一临床医学院骨科，黑龙江省哈尔滨市  150001
  • 出版日期:2010-11-26 发布日期:2010-11-26
  • 作者简介:于长水★，男，1972年生，黑龙江省讷河市人，汉族，2005年哈尔滨医科大学毕业，硕士，主治医师，主要从事脊柱外科及人工关节外科的临床医疗工作 yuccss@126.com

Transvertebral pedicle screws internal fixation for thoracolumbar fracture                              

Yu Chang-shui, Yang Wei-liang   

  1. Department of Orthopedics, First Clinical Medical College, Harbin Medical University, Harbin  150001, Heilongjiang Province, China
  • Online:2010-11-26 Published:2010-11-26
  • About author:Yu Chang-shui★, Master, Attending physician, Department of Orthopedics, First Clinical Medical College, Harbin Medical University, Harbin 150001, Heilongjiang Province, China yuccss@126.com

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摘要：

目的：评价经伤椎椎弓根钉内固定治疗胸腰椎骨折的效果及不良反应。
方法：以胸腰椎、骨折、伤椎、椎弓根螺钉、内固定为中文关键词；以thoracolumbar，fracture，Injury vertebral，Pedicle screws，Internal fixation为英文关键词，采用计算机检索1993-01/2009-10相关文章。纳入与有关经伤椎椎弓根钉内固定治疗胸腰椎骨折相关的文章；排除重复研究或Meta分析类文章。以22篇文献为主重点讨论经伤椎椎弓根钉内固定治疗胸腰椎骨折的临床效果及不良反应。
结果：经伤椎椎弓根螺钉内固定能让胸腰骨折获得满意复位，重建椎体高度，增强脊柱的抗压稳定性，提供脊柱的长期稳定；既可有效的使胸腰椎骨折良好复位，牢固固定，又可减少内固定的松动或断裂，减少后凸的形成等内固定并发症；生物力学测试证明胸腰椎骨折伤椎椎弓根内固定能加强脊柱的稳定性；临床应用表明伤椎椎弓根内固定在技术操作上是可行的，选择合适、可靠的内固定物及工具，规范、严格地手术操作，不良反应会降低。
结论：经伤椎椎弓根螺钉内固定是治疗胸腰椎骨折的可靠、有效方法，且不良反应低。

关键词: 胸腰椎, 骨折, 伤椎, 椎弓根螺钉, 内固定

Abstract:

OBJECTIVE: To evaluate effect and adverse effect of pedicle screw internal fixation for thoracolumbar fracture.
METHODS: A computer-based online search was performed with key words “thoracolumbar, fracture, injured vertebra, pedicle screws, internal fixation” in Chinese and English for articles published between January 1993 and October 2009. Articles related to injured vertebra pedicle screws internal fixation for thoracolumbar fracture were included. Repetitive and Meta analysis was excluded. A total of 22 studies were included, which discussed clinical outcomes and adverse effects of injured vertebra pedicle screws internal fixation for thoracolumbar fracture.
RESULTS: Pedicle screws internal fixation through injured vertebra can obtain favorable reduction, reconstruct vertebral height, enhance spinal anti-compression and stability, reduce loosening or breakage, and decrease complications. Biomechanical test shows that pedicle screws internal fixation through injured vertebra can enhance spinal stability. Clinical application shows that pedicle screws internal fixation through injured vertebra is operable, and appropriate, reliable fixator and tools, rigorous operation can reduce adverse effects.
CONCLUSION: Pedicle screws internal fixation through injured vertebra is a reliable and effective therapy for thoracolumbar fracture, with few adverse effects.

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