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侧前路减压固定并钛网植骨内固定治疗胸腰椎爆裂性骨折

朱文雄,周雪明,何仲佳,郭昭庆,莫新发,李艳红,张世锋,梁皓华,江铭,王智

Chinese Journal of Clinical Anatomy（2008）

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Abstract
目的:报道侧前路减压钛网植骨融合内固定治疗椎管明显占位胸腰椎爆裂性骨折的临床应用效果.方法:对16例椎管明显占位胸腰椎爆裂性骨折行侧前路减压,钉板或钉棒固定加椎间钛网融合器植骨融合固定.结果:16例均获随访12～32个月.手术后胸腰椎椎间隙高度及生理曲度恢复满意,平均Cobb's角及平均椎管狭窄指数得到明显改善,神经功能恢复(Frank分级)提高1～3级.2例术中损伤胸膜并给予修补,5例术后出现腹股沟区麻木,未发牛其他并发症.结论:侧前路减压钛网植骨融合内固定治疗椎管明显,占位胸腰椎爆裂性骨折可获得良好临床疗效.
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Key words
thoracolumbar vertebrae,titanium mesh cage,burst fractures,internal fixation,anterolateral decompression
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