Clinical Application of Pedicle Screw System in Thoracic and Lumbar Fractures of Patients for Wenchun Earthquake_West China Medical Journal

Authors：

 ZHAO Bing , WANG Jun , CHEN Lijiang

Department of Orthopedics, Mianyang central Hospital, Mianyang 621000, China;

Corresponding author：

ZHAO Bing, Email: Zhaob651@sohu.com

Keywords：

胸椎; 腰椎; 骨折; 椎弓根螺钉; 紧急救治; 地震

Video：

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目的:探讨后路椎弓根螺钉固定在地震伤胸腰椎骨折中的应用及优点。方法:对19例胸腰椎骨折的地震伤患者行后路椎弓根螺钉内固定术。结果:本组病例的手术时间70～115分钟,平均出血量约280mL,两例病员术中出血超过400mL进行输血,复位椎体前缘高度由术前平均57.5%恢复到术后平均93.6%,后突角由术前平均21°矫正到术后平均3°,术后3～7天转往外地继续治疗,Frankel分级平均提高0.4。结论:后路椎弓根螺钉固定具有省时、节约医疗资源、提高救治效率、减轻患者痛苦的优点,尤其适用于大批伤病员的紧急救治。

Citation： ZHAO Bing,WANG Jun,CHEN Lijiang. Clinical Application of Pedicle Screw System in Thoracic and Lumbar Fractures of Patients for Wenchun Earthquake. West China Medical Journal, 2009, 24(7): 1679-1681. doi: Copy

1.	WEINSTEIN J N, SPRATT K F, SPENGLER D, et al. Spinal pedicle fixation:reliability and validity of roentgenogrambased assessment and surgical factors on successful screw placement[J]. Spine,1988,13:1012.
2.	BAY B K, YERBY S A, MCLAIN R F, et al. Measurement of strain distributions within vertebral body sections by texture correlation[J]. Spine,1999;24(1):10-17.
3.	SCHNEE C L, ANSELL L V. Selection criteria and outcome of operative approachers for thoracolumbar burst fractures with and without neurological deficit[J]. J Neurosurg,1997,86:48-55.
4.	陈梓锋, 郭延杰, 林斌, 等. 前路减压、钛网支撑植骨、ZPlate钢板内固定治疗陈旧性胸腰段脊柱骨折. 临床骨科杂志, 2005,8(4):304-306.
5.	ROYCAMILLE R, SAILANT G, MAZZEL C. Internal fixation of the lumbar spine with pedicle screw plating[J]. Clin Orthop 1986;203:7-17.
6.	CHEN S I, LIN R M, CHANG C H. Biomechanical investigation of pedicle screwvertebrae complex:a finite element approach using bonded and contact interface conditions[J]. Medical Engineering & Physics 2003,25:275-282.
7.	肖宇龙, 霍洪军, 杨学军. 胸腰椎骨折椎弓根内固定治疗的疗效评定[J]. 中华创伤骨科杂志, 2004,6:1287-1288.
8.	朱军,李云飞,李慧章.伸展体位与短节段椎弓根螺钉治疗胸腰椎爆裂性骨折[J]. 临床骨科杂志, 2004:7(2),171-173.
9.	CHEN C S, CHEN W J, CHENG C K, et al. Failure analysis of broken pedicle screws on spinal instrumentation[J]. Medical Engineering & Physics, 2005,27:487-496.

1. WEINSTEIN J N, SPRATT K F, SPENGLER D, et al. Spinal pedicle fixation:reliability and validity of roentgenogrambased assessment and surgical factors on successful screw placement[J]. Spine,1988,13:1012.
2. BAY B K, YERBY S A, MCLAIN R F, et al. Measurement of strain distributions within vertebral body sections by texture correlation[J]. Spine,1999;24(1):10-17.
3. SCHNEE C L, ANSELL L V. Selection criteria and outcome of operative approachers for thoracolumbar burst fractures with and without neurological deficit[J]. J Neurosurg,1997,86:48-55.
4. 陈梓锋, 郭延杰, 林斌, 等. 前路减压、钛网支撑植骨、ZPlate钢板内固定治疗陈旧性胸腰段脊柱骨折. 临床骨科杂志, 2005,8(4):304-306.
5. ROYCAMILLE R, SAILANT G, MAZZEL C. Internal fixation of the lumbar spine with pedicle screw plating[J]. Clin Orthop 1986;203:7-17.
6. CHEN S I, LIN R M, CHANG C H. Biomechanical investigation of pedicle screwvertebrae complex:a finite element approach using bonded and contact interface conditions[J]. Medical Engineering & Physics 2003,25:275-282.
7. 肖宇龙, 霍洪军, 杨学军. 胸腰椎骨折椎弓根内固定治疗的疗效评定[J]. 中华创伤骨科杂志, 2004,6:1287-1288.
8. 朱军,李云飞,李慧章.伸展体位与短节段椎弓根螺钉治疗胸腰椎爆裂性骨折[J]. 临床骨科杂志, 2004:7(2),171-173.
9. CHEN C S, CHEN W J, CHENG C K, et al. Failure analysis of broken pedicle screws on spinal instrumentation[J]. Medical Engineering & Physics, 2005,27:487-496.

West China Medical Journal

Clinical Application of Pedicle Screw System in Thoracic and Lumbar Fractures of Patients for Wenchun Earthquake

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