Treatment of thoracolumbar fractures with posterior transpedicular instrumentation of artificial bone graft and vertebral pedicle screw in fractured vertebra
Abstract:Objective To study the clinical curative effect of posterior transpedicular instrumentation of artificial bone graft and vertebral pedicle screw in fractured vertebra for the treatment of thoracolumbar fractures.Methods From January 2010 to October 2011, 18 cases with thoracolumbar fractures were treated with short segmental transpedicalar fixation combined with transpedicular instrumentation of artificial bone graft and vertebral pedicle screw in fractured vertebra. The changes of the height of anterior border of anterior horn and the height of anterior border of axial column were observed before and after operation respectively. The changes of Cobb angle and Oswestry disability index(ODI) were evaluated before operation and at the final follow-up.Results Eighteen cases were followed up for 14-24 months (averaged 18 months). There was no complication. The height of anterior border of anterior horn which was(18.69±2.59) mm before operation reached to (26.43±1.94) mm after operation, and the height of anterior border of axial column was enhanced from (21.05±2.85) mm before operation to (26.16±1.25 mm) after operation. The Cobb angle which was 16.44°±3.07° before operation reached to 2.89°±1.28° at the last follow-up, and the ODI was reduced from 82.38%±7.02% before operation to 17.14%±7.53% at last follow-up. There were significantly statistical differences in the observation items between before and after operation(all P values<0.01).Conclusions In the treatment of thoracolumbar fractures, the Method of transpedicular fixation combined with transpedicular artificial bones graft in fractured vertebra can restore the height of fractured vertebra, and reduce internal fixation failure.
赵祥,何升华,丁浩,方俊,吴小海,张诤,张永. 后路经椎弓根硫酸钙骨替代材料椎体内填充治疗胸腰椎压缩骨折[J]. 中华解剖与临床杂志, 2014, 19(3): 220-223.
Zhao Xiang, He Shenghua, Ding Hao, Fang Jun, Wu Xiaohai, Zhang Zheng, Zhang Yong. Treatment of thoracolumbar fractures with posterior transpedicular instrumentation of artificial bone graft and vertebral pedicle screw in fractured vertebra. Chinese Journal of Anatomy and Clinics, 2014, 19(3): 220-223.
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