Management of multiple segment lumbar pedicle and vertebral body fractures combined with spondylolisthesis
10.3760/cma.j.issn.1001-8050.2009.08.220
- VernacularTitle:腰椎多节段椎弓根及椎体骨折伴腰椎滑脱的治疗
- Author:
Xiaojian YE
;
Hailong HE
;
Ning XIE
;
Guohua XU
;
Yanhai XI
;
Jiashun LI
;
Lianshun JIA
;
Wen YUAN
- Publication Type:Journal Article
- Keywords:
Spinal fractures;
Lumbar vertebrae;
Pedicle;
Fracture fixators
- From:
Chinese Journal of Trauma
2009;25(8):687-689
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate neurofunctional and radiographic results of transpedicular screw fixation reduction and anterior column fixation with use of screw-red system in treatment of multiple segment lumbar pedicle and vertebral body fractures combined with spondylolisthesis. Methods A consecutive series of 12 patients with unstable multiple segment lumbar pedicle fracture, vertebral body fracture, spondylolisthesis and neurologic deficit were managed with posterior transpedicular screw fixation including fractured pedicle and anterior screw-rod fixation instrumentation from January 2002 to December 2007. Results Patients were followed up for 24-30 months (mean 26 months). All the patients with incomplete neurologic deficits got improvement by at least one Frankel grade. Transpedicular screw brought satisfactory reduction. At the time of the latest follow-up, no screw breakage occurred. Con-clusions Excellent reduction of unstable multiple segment lumbar pedicle fractures combined with spon-dylolisthesis can attain better reduction and maintenance by means of selective pedicle screw fixation via fractured pedicle and anterior screw-rod instrument.
