腰椎骨折短节段多棒后路固定术新方法:技术进展及1例临床

Ramis A. Aslanov, A. K. Dulaev, D. Kutyanov, Z. Y. Alikov
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引用次数: 0

摘要

本文提出了一种短节段多棒后路器械固定腰椎骨折(AO分类为A3组和A4组)的新方法,其特点是联合使用两枚短经椎弓根螺钉,最大限度地侧移头部固定受伤的椎体和邻近的椎体,并根据标准技术安装两枚短椎板内固定物,其位置与棘突对称发展。如果骨折椎体不可能经椎弓根固定,两个椎板系统都以订书钉的形式安装,由于在椎板上和椎板下安排了标准挂钩,因此订书钉的圆形覆盖了相邻椎体的相应半弧。该方法包括使用标准的椎体仪器,以及广泛使用的许可植入物和经典的安装技术。报告一例27岁患者第3腰椎粉碎性压缩性骨折(AO分类为A3组)的手术治疗临床病例。取得了良好的临床和放射学结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A new method for shortsegment multi-rod posterior instrumental fixation of lumbar vertebral body fractures: development of the technology and a clinical case
A new method of short segmental multi-rod posterior instrumental fixation of lumbar vertebral body fractures (groups A3 and A4 according to the AO classification) characterized by the combined use of two short transpedicular screws with maximum lateralization of their heads fixing the injured and adjacent vertebrae and two short laminar implants in the form of distractors and contractors installed according to a standard technique with their positioning symmetrically to the spinous processes was developed. If transpedicular fixation of the fractured vertebra is impossible, both laminar systems are installed in the form of staples with circular coverage of the corresponding half-arc of the adjacent vertebrae due to supra- and infralaminar arrangement of standard hooks. The method involves the use of standard vertebrological instruments as well as widely available licensed implants and the classic technique of their installation. A clinical case of surgical treatment of a 27-year-old victim with a comminuted compression fracture (group A3 according to the AO classification) of the 3rd lumbar vertebra is reported. An excellent clinical and radiological result was obtained.
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