AO分型、脊柱载荷及不稳定程度评分的应用研究
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作者Author单位AddressE-Mail
翟晓军 ZHAI Xiao-jun 浙江大学医学院附属第二医院骨科 浙江杭州310009 Department of Orthopaedics,The Second Affilicated Hospital of Zhejiang University School of Medicine,Zhejiang Hangzhou,310009,China Henan zhaixiaojun@126.com 
陈其昕 CHEN Qi-xin 浙江大学医学院附属第二医院骨科 浙江杭州310009 Department of Orthopaedics,The Second Affilicated Hospital of Zhejiang University School of Medicine,Zhejiang Hangzhou,310009,China  
陈维善 CHEN Wei-shan 浙江大学医学院附属第二医院骨科 浙江杭州310009 Department of Orthopaedics,The Second Affilicated Hospital of Zhejiang University School of Medicine,Zhejiang Hangzhou,310009,China  
兰俊 LAN Jun 浙江大学医学院附属第二医院骨科 浙江杭州310009 Department of Orthopaedics,The Second Affilicated Hospital of Zhejiang University School of Medicine,Zhejiang Hangzhou,310009,China  
期刊信息:《中国骨伤》2005年,第18卷,第5期,第263-265页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:探讨AO骨折分型、Load sharing及IG评分法则,在胸腰段椎体骨折手术入路及内固定植入物选择中的临床价值。

方法:不稳定性胸腰段骨折患者95例,术前按照AO骨折分型、Load sharing及IG评分法则进行综合评估,选择合适的手术入路及内固定植入物,随访79例,观察临床疗效,评估三者相结合的临床应用价值。

结果:①术前不完全神经损伤患者17例,其中16例Frankel分级恢复1级或1级以上;腰痛按Denis评分:P156例,P217例,P36例。②后路、前路及前后路联合固定术后各自的椎体前缘高度、矢状面指数平均复位分别为6.59mm、15.68°,12.90mm、20.75°,15.07mm、23.80°。③本组无断钉、内固定松动滑脱等严重并发症。

结论:AO分型结合Load sharing及IG评分法则,对胸腰段骨折手术入路及内植物选择具有指导意义。
【关键词】AO分型  脊柱载荷评分  不稳定程度评分  胸腰椎骨折
 
Application of AO classification,Load-sharing and IG grade rules in treatment of unstable thoracolumbar vertebral fractures
ABSTRACT  

Objective:To investigate the clinical value about the combination of AO classification,Load-sharing and IG grade rules in selecting the proper surgical approach to thoracolumbar vertebral fractures.

Methods:Ninety-five patients with unstable thoracolumbar vertebral fractures were accepted,the surgical approach and internal fixation of these patients were selected by the combination of AO classification,Load-sharing and IG grade rules.Seventy-nine patients of them were followed up,the clinical value about the combination of AO classification,Load-sharing and IG rules was evaluated by observing the clinical effects.

Results:①Sixteen in seventeen patients who were incomplete nerve injury were recovered at least 1 Frankel grade.Back pain was evaluated according to Denis's Pain Scale,the results showed P1 56 patients,P2 17,P3 6.②The postoperative anterior border height with posterior,anterior and anterior-posterior combined approach were (6.59) mm,12.90 mm and 15.07 mm respectively.The postoperative sagittal index with posterior,anterior and anterior-posterior combined approach were 15.68°,20.75° and 23.80° respectively.③No nailing failure was observed in the fixation.

Conclusion:The combination of AO classification,Load-sharing and IG grade rules is a perfect assessment in guiding proper surgical approach and the choice of instrumentation in thoracolumbar vertebral fractures.
 
引用本文,请按以下格式著录参考文献:
中文格式:翟晓军,陈其昕,陈维善,兰俊.AO分型、脊柱载荷及不稳定程度评分的应用研究[J].中国骨伤,2005,18(5):263~265
英文格式:ZHAI Xiao-jun,CHEN Qi-xin,CHEN Wei-shan,LAN Jun.Application of AO classification,Load-sharing and IG grade rules in treatment of unstable thoracolumbar vertebral fractures[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(5):263~265
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