【摘 要】
：
目的 探讨短节段椎弓根钉复位固定结合自体颗粒骨椎体成形术治疗老年腰椎骨折的方法和临床疗效.方法 采用椎弓根钉棒系统对伤椎进行复位后经过伤椎椎弓根植入自体颗粒骨38例,治疗前后行X射线摄片和观察骨折椎体前后缘及椎体中央高度压缩率变化,Cobb角改善情况及并发症.结果 术后末次随访测得椎体前后缘及中央高度压缩率及Cobb角,与术前相比差异均有统计学意义(P＜0.05)；而与术后即刻相比差异无统计学意义
【出 处】
：
2010广东省医学会骨科年会暨岭南骨科学术大会
论文部分内容阅读
目的 探讨短节段椎弓根钉复位固定结合自体颗粒骨椎体成形术治疗老年腰椎骨折的方法和临床疗效.方法 采用椎弓根钉棒系统对伤椎进行复位后经过伤椎椎弓根植入自体颗粒骨38例,治疗前后行X射线摄片和观察骨折椎体前后缘及椎体中央高度压缩率变化,Cobb角改善情况及并发症.结果 术后末次随访测得椎体前后缘及中央高度压缩率及Cobb角,与术前相比差异均有统计学意义(P＜0.05)；而与术后即刻相比差异无统计学意义(P＞0.05).23例脊髓神经不完全损伤患者,按美国脊髓损伤协会标准评定,术后神经功能均有(≥1级)恢复,伤椎椎体高度恢复并维持良好,无植骨操作引起的神经血管并发症.结论 采用椎弓根螺钉系统复位内固定结合自体颗粒骨椎体成形术能恢复椎体高度及强度,改善椎体经终板塌陷的复位效果,减少术后并发症发生和提高脊柱的稳定性.
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