文献类型：期刊文献

中文题名：过伸复位手法在胸腰段骨折内固定术中的应用

英文题名：Application of Hyper-extensive Reduction to Internal Fixation of Thoracolumbar Fracture

作者：徐斌[1,2];张华[2]

第一作者：徐斌

机构：[1]甘肃中医学院;[2]甘肃中医学院附属医院脊柱外科

第一机构：甘肃中医药大学

年份：2012

卷号：25

期号：5

起止页码：66

中文期刊名：西部中医药

外文期刊名：Western Journal of Traditional Chinese Medicine

收录：CSTPCD

基金：甘肃省中医药管理局科研基金资助项目(2007-123-35)

语种：中文

中文关键词：骨折;过伸复位手法;胸椎;腰椎;内固定

外文关键词：bone fracture; hyper-extensive reduction; thoracic vertebra; lumbar vertebra; internal fixation

摘要：目的:探讨过伸手法在胸腰段骨折手术治疗中的复位作用及临床疗效。方法:自2007年6月至2011年12月对42例胸腰段骨折患者在行内固定手术时配合过伸复位手法,对比手术前后伤椎高度和成角畸形(Cobb角)的变化。结果:治疗6个月后椎体高度恢复至(38.1±1.7)mm,术后1年恢复至(37.5±1.2)mm,与治疗前[(12.0±1.2)mm]相比,差异有统计学意义(P<0.05)。Cobb角得到良好矫正,术后6个月为(2.8±0.6)°,术后1年为(3.6±0.6)°,与治疗前[(24.6±3.5)°]相比,差异有统计学意义(P<0.05)。A级3例恢复到B级;B级9例恢复到C级,3例恢复到D级;C级6例恢复到D级,4例恢复到E级;D级7例恢复到E级。结论:在胸腰段骨折内固定手术治疗中应用过伸复位手法,有助于椎体高度Cobb角的恢复及矫正,有助于神经功能的恢复。
Objective： To explore the resetting and curative effects of hyper-extensive reduction in the surgery of thoracolumbar fracture.Method： Forty-two patients were administered with hyper-extensive reduction and internal fixation of thoracolumbar fracture from June,2007 to December,2011,heights of vertebra and changes of Cobb angles were compared before and after the operation.Result： Vertebral heights were restored to（38.1±1.7） mm at the sixth months after the treatment,recovered to（37.5±1.2） mm at the first year after the surgery,superior to（12.0±1.2） mm before the treatment with statistical meaning（P0.05）.Cobb angles were better corrected,（2.8±0.6）° at the sixth month after the treatment and（3.6±0.6）° at the first year after the surgery were superior to（24.6±3.5）° before the treatment with statistical meaning（P0.05）.Three cases of class A were recovered to class B;nine cases of class B to class C;three cases of class B to class D;six cases of class C to class D,four cases to class E;seven cases of class D to class E.Conclusion： Application of hyper-extensive reduction to the surgery of internal fixation of thoracolumbar fracture would be helpful to the rehabilitation and correcting for vertebral height and Cobb angles as well as the recovery of neurological function.