Abstract: 【Abstract】〓Objective〓To explore the effect of spinous process osteotomy and titanium rete vertebral canaloplasty in the treatment of thoracolumbar vertebral fracture. Methods〓Spinous process osteotomy and titanium rete vertebral canaloplasty were conducted in 41 patients with thoracolumbar fracture between July 2012 and September 2013. All the patients had a follow-up for more than one year postoperatively. Results〓All fractures healed well within 3 months postoperatively in 23 cases, and were general in 17 cases, failed in one cases. After one year follow-up, 40 patients recovered well and the clinical outcomes were significantly improved compared with their preoperative data (P<0.05). No obvious statistical difference was found between their postoperative data and those in one year follow-up. Conclusion Spinous process osteotomy and titanium rete vertebral canaloplasty is efficient in the treatment of horacolumbar fracture patients...It can effectively promote the fracture healing and reduce the recurrence rate.

Key words: Spinous process osteotomy, Titanium rete canaloplasty, Thoracolumbar fracture, Application research

摘要： 〓【摘要】〓目的〓棘突截骨钛网椎管成形术治疗胸腰椎骨折中的效果。方法〓选取2012年7月~2013年9月间我院收治的41例胸腰椎骨折患者,对其采用棘突截骨钛网椎管成形术进行治疗,并跟踪随访解患者恢复情况。结果〓41例患者中,术后3个月内骨折愈合良好的有23例,愈合程度一般的17例,手术无效的1例。一年后随访发现,患者均恢复良好,与术后最后一次检查结果无明显差异,前后对比,差异有统计学意义(P<0.05)。结论〓棘突截骨钛网椎管成形术在治疗胸腰椎骨折中效果良好,能够有效促进患者骨折部位尽快恢复正常,复发率低。

关键词: 棘突截骨, 钛网椎管成形术, 胸腰椎骨折, 应用研究