Documente Academic
Documente Profesional
Documente Cultură
11
2004 7 2007 7
186
100 86
2430 28.4
2438 28.0 18
38.2 16.1%
2.4 1.7%3.7 1.6%3
P 0.05 18 37.3 13.8%
9.8
5.3%18.4 8.7%3 P 0.05
P 0.05 18
P 0.05 18
2 CT
4
R683.2
R687.34
1674-666X(2012)01-0011-07
DOI10.3969/j.issn.1674-666X.2012.01.002
061001
E-mail
15903175126@139.com
12
2012 2 4 1 Chin J Clin Basic Orthop Res, Feb 2012, Vol.4, No.1
system. Methods From July 2004 to July 2007, 186 patients of thoracolumbar fractures were underwent open
reduction and pedicle screw fixation at Cangzhou Central Hospital. Among them, 100 patients treated with
transpedicular intracorporeal grafting (A group), and 86 treated with transposterolateral grafting (B group). The
vertebral compression rate, the improvement of clinical symptoms and postoperative complications were
compared between two groups. Results In A group, patients were followed up from 24 to 30 months, with the
average of 28.4 months; in B group, patients were followed up from 24 to 38 months with the average of 28.0
months. The vertebral compression rate at preoperation, postoperation and 18 months after operation was (38.2
16.1)% , (2.4 1.7)% , and (3.7 1.6)% respectively in A group, the differences among them had statistical
significance (P 0.05); the vertebral compression rate at preoperation, postoperation and 18 months after
operation was (37.3 13.8)%, (9. 8 5.3)% and (18.4 8.7)% respectively in B group, the differences among
them had statistical significance (P 0.05). Between A and B groups, the preoperative vertebral compression rate
was similar (P 0.05), while the vertebral compression rate at postoperation as well as 18 months after the
surgery in A group were lower than those in B group (P 0.05). During the follow-up, all patients who had
neurological symptoms before the surgery got relieved obviously. At 18 months after the surgery, there was no
screw or rod broken, and no fixation loosening in A group, while in B group, there had internal fixation broken
in 2 cases. At the same time, CT scan results showed that intracorporeal graft had stuffed completely, and not
been absorbed in A group, with 4 cases of pedicular broken and thicken but none of them had obvious radicular
symptoms; In B group, we could see vertebral cavity in all patients. Conclusion For thoracolumbar fractures,
transpedicular intracoporeal grafting based on pedicle fixation can get ideal clinical effects because it can restore
vertebral height instantly and maintain the height during a long term, and it also can decrease the incidence of
complications such as internal fixation loosening or rupture.
Key words Spinal fractures; Thoracic vertebrae; Lumbar vertebrae; Bone transplantation; Fracture
fixation, internal
100
[1-2]
86
[3]
1.1
1
2
atlas fixationAF
[4]
[5]
33 d
186
2004 7 2007 7
1 100 54
2012 2 4 1 Chin J Clin Basic Orthop Res, Feb 2012 Vol.4, No.1
13
2430 28.4
2
86 50 36 18
50 31.1 7.9
46 36
2438 28.0 1
1.4
X
P 0.05
1.2
18 H1H2a
H2b
CT
HA HB[H=HA +
HB/2] [ = (H H1) / H
1.3
100%][ 1= (HH2a) / H
100%] 18 [ 2=
Weinstein [6]
(HH2b) / H100%]
CT 18
1.5
SPSS 13.0
x- s t
0.3 cm 0.3 cm
18
410 cm
LSD
6 cm CT
P 0.05
18
P 0.05 2
1 x s
T11
T12
L1
L2
L3
L4
100
31.3 8.2
54
46
11
13
22
21
18
15
56
44
59
41
37 17
86
31.1 7.9
50
36
10
14
21
22
10
48
38
51
35
30 18
0.167
0.321
2.879
0.001
0.002
0.680
0.868
0.571
0.719
0.980
0.967
0.498
14
2012 2 4 1 Chin J Clin Basic Orthop Res, Feb 2012, Vol.4, No.1
18
P 0.05
t = -35.770-34.500P = 0.000
41
18
t = -1.270P = 0.339
18
18
CT 4
P 0.05 2
18
35
18
12
t = -27.628-19.000
-8.628P = 0.000
2 18 CT
2
P 0.05
12
18
2 x s
%
18
100
38.2 16.1
2.4 1.7
3.7 1.6
468.594
0.000
86
37.3 13.8
9.8 5.3
18.4 8.7
173.097
0.000
0.385
-10.900
-14.929
0.701
0.000
0.000
1A
1B
1D
1E
1C
1F
1 + L1 34 1A X 1B X 1C
CT 1D CT 3D 1E 18 X
1F 18 CT
2012 2 4 1 Chin J Clin Basic Orthop Res, Feb 2012 Vol.4, No.1
2A
2B
15
2C
2 +
L1 32 2A
X 2B X
2C CT3D
2D 18 X
2E 18
2E
2D
CT
[11-12]
3.1
[7]
80% 20%
[8-9]
Toyone [13]
[10]
Van-Herck [14]
30
16
2012 2 4 1 Chin J Clin Basic Orthop Res, Feb 2012, Vol.4, No.1
3.3
SD 12.44-5.48SD 11.44
4 18
2 Cobbs 1.00SD
CT
3.04
thoracic spine fractures with transpedicular screw instrumentation: a 3-year consecutive series [J]. Spine, 2002, 27(24):
Cobb 18 CT
2782-2787.
[2] Mavrogenis A, Tsibidakis H, Papagelopoulos P, et al. Poste-
[3] Wang XY, Dai LY, Xu HZ, et al. Biomechanical effect of the
extent of vertebral body fracture on the thoracolumbar spine
3.2
[J] . , 2000, 20
(8): 470-472.
[15-17]
[5]
assessment
10
95 [18]
and
surgical
factors
on
successful
screw
[7] , .
[J] . , 2002, 18(1): 14-16.
[8] , , .
[J] . , 2002, 22
(11): 641-647.
suppl): S70-S79.
[10] , , , .
2012 2 4 1 Chin J Clin Basic Orthop Res, Feb 2012 Vol.4, No.1
[J] . , 2009, 7(1): 18-20, 25.
[11] . [J] . ,
2001, 16(6): 470-473.
[12] , , , .
[J] . , 2008, 23
(9): 711-713.
17
Osteoset-[J] . ,
2000, 7(8): 786-789.
2011-12-15
2012-01-12
2012
2012 2012 6 29
30 DLIF/XLIF
1.
1
2
3
4
5
2.
6 29
6 30
Emailgzzyy_gk@126.com
020-36655321
020-36654551
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