多棒技术在胸腰椎骨折翻修中的应用
DOI:
作者:
作者单位:

解放军总医院第四医学中心

作者简介:

通讯作者:

中图分类号:

基金项目:


Multiple-rods construct in Revision for thoracolumbar Fracture
Author:
Affiliation:

Fourth Medical Center of the Chinese PLA General Hospital

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:探讨多棒技术在胸腰椎骨折翻修病例中的可行性和手术效果 方法:收集我科2017年3月~2018年9月运用多棒技术行胸腰椎骨折术后断棒翻修的11例患者病例资料,平均随访时间15.97个月。统计手术时间、术中出血量、下地时间、出院时间及再次断棒率,分别测量翻修前、翻修后及末次随访时矢状位Cobb角。临床疗效通过视觉模拟评分法(visual analogue scale,VAS)及Oswestry功能障碍指数问卷表(oswestry disability index, ODI)来评估。结果:手术时间约107分钟,术中出血量约131.81ml,下地时间约1.59天,出院时间约10.89天,再次断棒率为0。翻修前、后矢状位Cobb角分别为9.89°±3.19°和-1.93°±7.11°,差异有统计学意义(P=0.000),末次随访及翻修术后矢状位Cobb角无统计学差异(P=0.551)。末次随访时VAS和ODI均明显改善。结论:在胸腰椎骨折术后断棒翻修的病例中应用多棒技术,既安全、简单,又疗效显著。

    Abstract:

    Objective: Evaluate the feasibility and surgical outcomes of Multiple-rods construct in Revision for thoracolumbar Fracture.Methord: From March 2017 to September 2018, 11 cases with average 15.97 months follow-up were retrospectively analyzed in revision for rod fracture after thoracolumbar fracture.The operation time and intraoperative blood loss and active time and discharge time and rate of rod fracture and sagittal Cobb angle and pain measured by visual analogue scale( VAS) and the Oswestry disability index ( ODI) was assessed.Results: The operation time was 107 minutes. The intraoperative blood loss was 131.81 milliliters. Active time was 1.59 days. Discharge time was 10.89 days.NO rod fracture Occurred.Sagittal Cobb angles of pre-revision and post-revision were 9.89°±3.19°and -1.93°±7.11°(P=0.000).There was no significantly difference in term of sagittal Cobb angle between post-revision and last follow-up(P=0.551).ALL the patients have a significant improvement in lumbar VAS and ODI at last follow-up(P<0.05 ). Conclusion: It is safe, easy and effective for us to use the Multiple-rods construct for rod fracture in Revision for thoracolumbar Fracture.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2019-10-19
  • 最后修改日期:2019-11-24
  • 录用日期:2019-12-06
  • 在线发布日期:
  • 出版日期: