[1]郭长勇 丁真奇△ 陈智彪 叶永贤.提拉撬拨复位内固定治疗Roy-CamilleⅢ型骶骨骨折4例[J].中国中医骨伤科杂志,2017,25(12):50-53.
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提拉撬拨复位内固定治疗Roy-CamilleⅢ型骶骨骨折4例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年12期
页码:
50-53
栏目:
临床报道
出版日期:
2017-12-15

文章信息/Info

文章编号:
1005-0205(2017)12-0050-04
作者:
郭长勇1 丁真奇1△ 陈智彪1 叶永贤1
1中国人民解放军第一七五医院(福建 漳州,363000) 通信作者 E-mail:447394429@qq.com
关键词:
提拉撬拨 内固定 骶骨骨折
分类号:
R683.2
文献标志码:
B
摘要:
目的:探讨提拉撬拨复位内固定治疗Roy-CamilleⅢ型横行骶骨骨折的临床疗效。方法:回顾性分析2005年7月至2012年12月,采用提拉撬拨复位内固定治疗Ⅲ型横行骶骨骨折4例:其中男3例,女1例; 年龄21~45岁,平均34岁; 受累节段均为S1~S2.致伤原因:高处坠落2例,车祸2例。入院时本组患者均有直肠及膀胱功能障碍。对比术前、术后影像学骶骨移位及成角改善程度,评价复位质量。Gibbons评分评价神经损伤恢复情况。记录术后及随访中的并发症。结果:4例患者均获得16~42个月(平均28个月)随访。骶骨术前成角平均为17.5°(3.5°~27.5°),术后为1.5°(0°~2.5°); 术前移位距离平均为18.0(15.0~21.0)mm,术后为2.0(0~4.0)mm.根据Gibbons评分方法,神经功能从术前的平均4分提高到术后的平均1分,除1例未恢复外,其余3例均恢复。术后1例发生浅表感染,1例出现腰骶部不适。结论:提拉撬拨复位内固定治疗Roy-Camile Ⅲ型骶骨骨折,操作简单,复位效果满意,是一种实用且有效的治疗方法。

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更新日期/Last Update: 2017-12-08