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岭南现代临床外科 ›› 2018, Vol. 18 ›› Issue (03): 254-260.DOI: 10.3969/j.issn.1009-976X.2018.03.003

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胸腰椎骨折短节段椎弓根螺钉内固定术后脊柱后凸畸形研究进展

张天奇, 房清敏*, 王大巍, 张岱捷, 叶伟康   

  1. 山东滨州滨州医学院附属医院
  • 通讯作者: 房清敏

The research progress of pedicle screw at the fracture level in short-segment fixation for treatment of posterior kyphosis after thoracolumbar fracture

ZHANG Tianqi,FANG Qingmin,WANG Dawei,ZHANG Daijie,YE Weikang   

  1. Department of Spinal surgery,The Affilited Hospital of Binzhou Medical University,Binzhou,Shandong 256600,China
  • Online:2018-06-20 Published:2018-06-20
  • Contact: FANG Qingmin

摘要: [摘要] 近些年来胸腰椎骨折的发生率正逐年提升,对于胸腰椎骨折患者的治疗,我们更多是采用椎弓根螺钉复位技术。这种技术可以重建脊柱的稳定性,帮助伤椎恢复高度。随着脊柱生物力学和内固定材料的发展,虽然椎弓根钉复位技术也取得了重大的突破,但是术后患者脊柱后凸仍是我们最常见的并发症。本文就胸腰椎骨折的手术治疗时机,术后脊柱后凸畸形的发生原因等方面的研究现状做一综述。

关键词: 胸腰椎骨折, 后凸畸形

Abstract: [Abstract] In recent years, the incidence of thoracolumbar fractures has been increasing year by year. For patients with thoracolumbar fractures, short-segment posterior fixation represents a less invasive alternative to the traditional long-segment posterior fixation approach. This technique can restore the stability of the spine and help restore the spine height. With the development of spinal biomechanics and internal fixation materials, there have been significant breakthroughs in the technique of pedicle screw fixation, but postoperative patients with kyphosis are still the most common complications. In this paper, we review the current situation of surgical treatment of thoracolumbar fractures and the causes of postoperative kyphosis.

Key words: thoracolumbar fracture, kyphosis

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