文档介绍：K-plate钢板在胸腰椎爆裂性骨折中的应用
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作者:唐毓金,陆敏安,谢克恭,潘生才
【摘要】目的评价K-plate形钛钢板内固定系统在胸腰椎骨折中的应用价值。方法对17例胸腰椎骨折患者采用前路减压、植骨及K-plate钢板固定术。结果随访6~36个月,,植骨均已牢固融合,无植骨块塌陷及伤椎高度丢失,无钢板、螺钉断裂及松动现象。结论 K-plate钢板系统具有操作简单、固定牢靠、并发症少的优点,是治疗胸腰椎骨折较理想的内固定系统。
【关键词】胸腰椎骨折;前路减压;骨折固定术,内
Abstract: Objective To evaluate the usefulness of K-plate system in treatment of fractures of thoracolumbar vertebrae. Methods 17 patients with fractures of thoracolumbar vertebrae were involved in this study. All patients underwent anterior route pression, autogenous iliac grafting and K-plate system fixation surgery. Results A follow-up of 6~36 months (mean ) showed the grafted bone was solid fusion, and plications occurred, such as collapsing of the grafted bone, losing the height of vertebral bodies and breaking of the plate and screw. Conclusion K-plate system has the advantages of simple manipulation, intrinsic stability and plications, so it is a good internal fixation system for the treatment of fractures of thoracolumbar vertebrae
Key words: fracture of thoracolumbar vertebra; anterior route pression; fracture fixation, internal
胸腰椎骨折是最常见的脊柱骨折,前路减压、植骨、应用钛钢板系统固定是治疗胸腰椎骨折并截瘫的一个重要术式,已得到越来越多的应用并取得显著疗效[1]。2001年9月~2005年6月我科采用前路手术,应用K-plate钛钢板系统治疗胸腰椎骨折17例,效果满意,现报告如下:
1 资料与方法
一般资料本组17例中,男12例,女5例;年龄22~48岁,。致伤原因:车祸伤7例,高处坠落伤6例,重物砸伤4例。骨折部位:T123例,T12~L1