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个体优化经椎弓根置钉复位内固定治疗胸腰椎骨折.pdf

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中国组织工程研究与临床康复第15卷第22期2011–05–28出版 JournalofClinicalRehabilitativeTissueEngineeringResearchMay28,2011Vol.15,No.22 个体优化经椎弓根置钉复位内固定治疗胸腰椎骨折 陈家麟 Individualoptimizedpediclescrewresetandfixationtreatmentforthoracolumbarfractures ChenJia-lin Abstract DepartmentofBACKGROUND:Withthedevelopmentofpediclescrewtechnology,itisnotenoughonlytopediclescrewimplantation.Itshould OrthopedicSurgery,choosethebestchannelforpediclescrewimplantationbasedonfracturereductionandfixation. theFirstPeople’sOBJECTIVE:Toimprovethetreatmentsafetyandeffectivenessofindividualpediclescrewfixationforthoracolumbarfractures. HospitalofChuzhou, METHODS: Chuzhou239000,PreoperativeX-rayandCTwereperformedin50casesofthoracolumbarfracturestomeasurethepediclewidth,the AnhuiProvince,screwpathlength,thedistancesbetweenpedicles,thetransverseandsagittalscrewangle,thecompressofthevertebrace,the ChinaspinalCobb’sangle.Theindividualoptimizedrangetosafelyimplantpediclescrewswasselected.Combinedwithanatomical localization,C-armX-raywasusedtoguideoperationorientationandinspectoutcome. ChenJia-lin, RESULTSANDCONCLUSION: AssociatechiefThepositionofthescrewwasgood,theanglewascorrect,andthelengthwassuitable.The physician,compressofthevertebraceandthespinalCobb’sanglewereimprovedsignificantlyafteroperation(P<0.01).Fiftycaseswere Departmentoffollowedupfor2to26months,withanaverageof12months,andthefractureshealed.Individualradiologymeasurement OrthopedicSurgery,combinedwithanatomicallocalizationisareasonableandeffectivemethod,whichishelpfultoevaluatethesecurityandthe theFirstPeople’s HospitalofChuzhou,efficiencyoftranspedicleinternalfixation. Chuzhou239000, AnhuiProvince, ChinaChenJL.Individualoptimizedpediclescrewresetandfixationtreatmentforthoracolumbarfractures.ZhongguoZuzhiGongcheng cjlahcz@163.comYanjiuyuLinchuangKangfu.2011;15(22):4046-4050.[http://www.crter.cnhttp://en.zglckf.com] Received:2011-01-12 Accepted:2011-03-19摘要 背景：在日臻成熟的椎弓根螺钉应用技术中，仅满足于将螺钉置入椎弓根中是不够的，而是应根据骨折复位固定要求寻求最 佳置钉通道。 目的：验证经椎弓根内固定个体化治疗胸腰椎骨折的有效性和安全性。