You Kai-Fa, Lai Hong-Xi, Zou Feng-Lin, Deng Tian-Fa, Li Yu-Hua, Wen Tian-Hua, Huang Chong-Qing
Department of Orthopaedics, Hospital of Shanghang County, Shanghang 364200, Fujian, China.
Zhongguo Gu Shang. 2010 Apr;23(4):302-4.
To discuss the clinical effectiveness in treating thoracolumbar fractures adopting the rehabilitation exercise utilizing knee pads on the orthopedic traction bed.
From June 1996 to June 2006, we studied the clinical effectiveness of thoracolumbar fractures utilizing knee pads on the orthopedic traction bed for rehabilitation exercise. The cases surveyed total 209, 163 of which had full data. There were 98 males and 65 females with the age from 17 to 74 years (mean, 14.5 years). Consulting time after injury from 30 min to 7 days. Fracture site in T11 had 8 cases, in T12 24 cases, in L1 73 cases, in L2 33 cases, in L3 8 cases, in L4 3 cases, in T12 and L1 14 cases. Compression degree of vertebral anterior border: full compression had 1 case,more than 4/5 had 23, more than 2/3 had 67, more than 1/2 had 40, in 1/3 had 46.
Among them, 8 cases with legs paresis no recovery in nerval function or stopping recovery changed methods, and underwent surgical treatment. Others 155 cases were followed up from 2 to 12 years with an average of 3 years and 4 months. The average height of vertebral anterior borders of the 169 injured compressed had increased from 1.55 cm before treatment to 2.70 cm after treatment with an average of 1.15 cm. The height of the injured vertebral anterior borders had recovered from 50.5% (1.55/3.07) before treatment to 89.4% (2.70/3.02) after treatment. Kyphosis angle of the injured vertebral bodies had recovered from 13.25 degrees to -1.6 degrees in average. Twenty-three cases associated with dislocation basic reduction.
Rehabilitation exercise using knee pads on the orthopedic traction bed can obtain satisfactory clinical effect in treating thoracolumbar fractures, the method is easy. At 3, 7, 10 days after treatment, the height of bed should be adjusted according X-ray.
探讨在骨科牵引床上利用护膝进行康复锻炼治疗胸腰椎骨折的临床疗效。
1996年6月至2006年6月，我们研究了在骨科牵引床上利用护膝进行康复锻炼治疗胸腰椎骨折的临床疗效。共调查病例209例，其中163例资料完整。男性98例，女性65例，年龄17～74岁（平均41.5岁）。伤后就诊时间30分钟至7天。骨折部位：T11有8例，T12有24例，L1有73例，L2有33例，L3有8例，L4有3例，T12和L1有14例。椎体前缘压缩程度：完全压缩1例，超过4/5 23例，超过2/3 67例，超过1/2 40例，1/3 46例。
其中8例下肢瘫神经功能无恢复或恢复停止而改行手术治疗。其余155例随访2～12年，平均3年4个月。169例伤椎压缩者椎体前缘平均高度由治疗前的1.55 cm增加至治疗后的2.70 cm，平均增加1.15 cm。伤椎椎体前缘高度由治疗前的50.5%（1.55/3.07）恢复至治疗后的89.4%（2.70/3.02）。伤椎后凸角平均由13.25°恢复至-1.6°。23例合并脱位基本复位。
在骨科牵引床上利用护膝进行康复锻炼治疗胸腰椎骨折可获得满意临床疗效，方法简便。治疗后3、7、10天应根据X线调整床高。
