摘要
目的探讨髂腰固定、骶管减压治疗DenisⅢ型骶骨骨折的临床疗效。方法回顾分析2009年5月~2015年5月收治作髂腰固定、骶管减压治疗的DenisⅢ型骶骨骨折患者20例,术后定期随访并行相关影像学检查,应用Gibbons标准和Majeed标准进行临床评分。结果 20例患者随访12~25个月,平均16.3个月。无切口感染、螺钉松动、断裂等并发症发生;术后6个月骨折均获得骨性愈合;Gibbons评分由术前至末次随访逐渐减少,比较差异有统计学意义(P<0.01)。Majeed评分由术前至末次随访逐渐增加,差异有统计学意义(P<0.01);末次随访Majeed功能评定:优11例、良4例、中5例,优良率75.0%。结论经后路骶管减压、髂腰固定治疗DenisⅢ型骶骨骨折,临床疗效肯定,神经功能恢复较好,生活质量明显提高,是一种较好的临床治疗选择。
Objectives To investigate the clinical outcomes of Denis type-Ⅲ sacral fracture using sacral decompression lumbo-iliac fixation. Methods From May 2009 to May 2015,20 patients with Denis type-Ⅲ sacral fracture were treated using sacral decompression lumbo-iliac fixation. Radiological outcomes measured after operation and during the follow-up period. Gibbons scoring system and majeed pelvic scoring system were used to evaluate clinical outcomes. Results All the patients were followed up from 12 to 25 months with an average of 16.3 months. The fracture healed well without infection and fixation failure. The Gibbons＇ score decreased significantly （P〈0.01） from before operation to final follow-up, while Majeed score increased significantly （P〈0.01）. The Majeed score showed an excellent result in 11 cases, good in 4 and moderate in 5. Conclusion Lumbo-iliac fixation sacral decompression is effective for Denis type-Ⅲ sacral fracture, which can promote the recovery of nerve injury and quality of life.
出处
《西部医学》
2017年第1期110-112,116,共4页
Medical Journal of West China
基金
四川省南充市科学技术计划项目(15A0039)
