Rehman Lal, Khattak Azmatullah, Akbar Ismail, Ilias Mohammad, Nasir Amir, Siddique Mohammad
Department of Neurosurgery, Hayatabad Medical Complex, Peshawar, Pakistan.
J Ayub Med Coll Abbottabad. 2010 Jan-Mar;22(1):49-52.
Spinal cord injury (SCI) is a devastating condition often affecting young and healthy individuals around the world. This debilitating condition not only creates enormous physical and emotional cost to individuals but also is a significant financial burden to society at large. The Objective was to study the outcome of spinal fixation with fixateur interne in cases of thoracolumbar spinal injuries in terms of neurological recovery and complications.
This Descriptive study was conducted at Department of Neurosurgery, Hayatabad Medical Complex and Postgraduate Medical Institute, Peshawar, from March, 2006 to December, 2007 Study included patients admitted in Neurosurgery Ward HMC, with acute traumatic spinal injuries during the above mentioned period who underwent thoracolumbar spinal fixation with fixateur interne. Name, age, sex, other relevant data, history, examination findings and investigation results were recorded. Postoperative outcome was evaluated taking neurological status, and complications like infection, implant failure and other complications into consideration. Follow-up of 6 months was carried out.
There were 31 patients, (18 male and 13 female). Fall from height (48%), road traffic accidents (26%) and crush injuries (26%) caused the trauma. Most common age group was from 21-30 years age. Fractured vertebrae included 2 D11 fractures, 12 D12 fractures, 13 L1 fractures, 3 L2 fractures and 1 L3 fracture. Mean operative time 80 minutes, mean blood loss 200 ml, mean hospital stay 6 days and mortality rate was 0%. Number of patients with Frankel grade A reduced from 27 to 19 and in Frankel grade E increased from 0 to 4 patients. Only one patient had infection and one patient had implant removal.
Fixateur interne is a useful and low-cost implant for fixation of thoracolumbar junction injuries with very easy availability and easy operative insertion and little blood loss. It has excellent post-operative outcome in terms of neurological improvement and a very low complication rate. Mortality rate is minimal.
脊髓损伤（SCI）是一种破坏性疾病，在世界各地经常影响年轻且健康的个体。这种使人衰弱的疾病不仅给个人带来巨大的身体和情感代价，也给整个社会造成重大的经济负担。目的是研究使用内固定器进行脊柱固定治疗胸腰椎脊柱损伤在神经功能恢复和并发症方面的结果。
这项描述性研究于2006年3月至2007年12月在白沙瓦哈亚塔巴德医疗中心和研究生医学研究所的神经外科进行。研究纳入了在上述期间入住哈亚塔巴德医疗中心神经外科病房、因急性创伤性脊柱损伤而接受胸腰椎脊柱内固定器固定治疗的患者。记录患者的姓名、年龄、性别、其他相关数据、病史、检查结果和检查结果。术后结果评估考虑了神经状态以及感染、植入物失败和其他并发症等并发症。进行了6个月的随访。
共有31例患者（18例男性和13例女性）。高处坠落（48%）、道路交通事故（26%）和挤压伤（26%）导致了创伤。最常见的年龄组为21 - 30岁。骨折椎体包括2例D11骨折、12例D12骨折、13例L1骨折、3例L2骨折和1例L3骨折。平均手术时间80分钟，平均失血量200毫升，平均住院时间6天，死亡率为0%。Frankel A级患者数量从27例减少到19例，Frankel E级患者数量从0例增加到4例。只有1例患者发生感染，1例患者进行了植入物取出。
内固定器是一种用于固定胸腰椎交界处损伤的有用且低成本的植入物，其可用性高、手术插入容易且失血量少。在神经功能改善方面术后效果极佳，并发症发生率极低。死亡率极小。
