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; 椎弓根螺釘; 緊急救治; 地震

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目的:探討后路椎弓根螺釘固定在地震傷胸腰椎骨折中的應用及優點。方法:對19例胸腰椎骨折的地震傷患者行后路椎弓根螺釘內固定術。結果:本組病例的手術時間70～115分鐘,平均出血量約280mL,兩例病員術中出血超過400mL進行輸血,復位椎體前緣高度由術前平均57.5%恢復到術后平均93.6%,后突角由術前平均21°矯正到術后平均3°,術后3～7天轉往外地繼續治療,Frankel分級平均提高0.4。結論:后路椎弓根螺釘固定具有省時、節約醫療資源、提高救治效率、減輕患者痛苦的優點,尤其適用于大批傷病員的緊急救治。

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.	陳梓鋒, 郭延杰, 林斌, 等. 前路減壓、鈦網支撐植骨、ZPlate鋼板內固定治療陳舊性胸腰段脊柱骨折. 臨床骨科雜志, 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.	肖宇龍, 霍洪軍, 楊學軍. 胸腰椎骨折椎弓根內固定治療的療效評定[J]. 中華創傷骨科雜志, 2004,6:1287-1288.
8.	朱軍,李云飛,李慧章.伸展體位與短節段椎弓根螺釘治療胸腰椎爆裂性骨折[J]. 臨床骨科雜志, 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. 陳梓鋒, 郭延杰, 林斌, 等. 前路減壓、鈦網支撐植骨、ZPlate鋼板內固定治療陳舊性胸腰段脊柱骨折. 臨床骨科雜志, 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. 肖宇龍, 霍洪軍, 楊學軍. 胸腰椎骨折椎弓根內固定治療的療效評定[J]. 中華創傷骨科雜志, 2004,6:1287-1288.
8. 朱軍,李云飛,李慧章.伸展體位與短節段椎弓根螺釘治療胸腰椎爆裂性骨折[J]. 臨床骨科雜志, 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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