Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (22): 3590-3594.doi: 10.3969/j.issn.2095-4344.2015.22.027

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Pedicle screw placement combined with filler for lumbar vertebra fractures 

Zhou Gang1, Gan Zi-ming2, Huang Wei-min1, Wang Cheng-wei1   

  1. 1Department of Spine Surgery, Sixth Affiliated Hospital, Xinjiang Medical University, Urumqi 830002, Xinjiang Uygur Autonomous Region, China; 2Basic Medical College, Xinjiang Medical University, Urumqi 830002, Xinjiang Uygur Autonomous Region, China)
  • Received:2015-03-16 Online:2015-05-28 Published:2015-05-28
  • Contact: Gan Zi-ming, Professor, Master’s supervisor, Basic Medical College, Xinjiang Medical University, Urumqi 830002, Xinjiang Uygur Autonomous Region, China
  • About author:Zhou Gang, Studying for master’s degree, Attending physician, Department of Spine Surgery, Sixth Affiliated Hospital, Xinjiang Medical University, Urumqi 830002, Xinjiang Uygur Autonomous Region, China
  • Supported by:

    Research Innovation Fund Project of Xinjiang Medical University, No. XYDCX2014185

Abstract:

BACKGROUND: Conventional cross-segment pedicle screw fixation will cause some complications such as kyphosis and loss of corrective angle. Fixation of pedicle screw placement of the injured vertebral body improves the disadvantages of conventional posterior screw placement, and obtains ideal outcomes.
OBJECTIVE: To investigate the clinical application value of pedicle screw placement combined with filler for lumbar vertebra fracture.
METHODS: Clinical data of patients with pedicle screw placement combined with filler for lumbar vertebra fracture were retrospectively analyzed. They were repaired with pedicle screw placement combined with bone graft as well as pedicle screw placement combined with bone cement. The ratio of anterior border to posterior border of the injured vertebral body after surgery and changes in Cobb angle were observed. Patients were followed up and results were compared.
RESULTS AND CONCLUSION: Pedicle screw placement combined with filler has many advantages, and obtained good outcomes in the treatment of lumbar vertebral fracture. However, the extensive application has some problems and disputes. Clinical physicians should pay more attention on choice of surgical indications, prevention and treatment of perioperative and long-term complications and postoperative treatment of osteoporosis. The pedicle screw fixation combined with calcium phosphate bone cement has a broad prospect, can maintain the effect of spine reduction, and is worth to spread in the clinical treatment of lumbar fractures. 
 

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程

 

Key words: Pedicle Screw, Fractures, Bone, Calcium Phosphates

CLC Number: