经椎间孔腰椎椎间融合术在陈旧性胸腰椎骨折脱位中的应用
Application of transforaminal lumbar interbody fusion in old thoracolumbar fracture and dislocation.
作者信息
Fang Xiangqian, Fan Shunwu, Zhao Xing
机构信息
Sir Run Run Shaw Hospital, Zhejiang University, Hang Zhou, China.
出版信息
J Spinal Cord Med. 2011 Nov;34(6):612-5. doi: 10.1179/2045772311Y.0000000025.
Abstract
BACKGROUND
The main indications for surgery for old thoracolumbar fractures are pain, progressive deformity, neurological damage, or increasing neurological deficit. These fractures have been one of the greatest therapeutic challenges in spinal surgery. Anterior, posterior, or combined anterior and posterior procedures have been successful to some extent. As far as we know, there is no report in the literature of transforaminal lumbar interbody fusion (TLIF) for old thoracolumbar fracture and dislocation.
METHODS
Case report.
RESULTS
A 26-year-old man with old fracture and dislocation of T12/L1 was treated with TLIF. At 12 months' follow-up, multi-slice computed tomography (CT) scans showed that solid fusion had been achieved between T12 and L1. Back pain had resolved completely at 2-year follow-up.
CONCLUSIONS
We performed TLIF for in a man with old fracture and dislocation of T12/L1, with good clinical outcome. TLIF might be an option in the treatment of old thoracolumbar fracture.
摘要
背景
老年胸腰椎骨折的主要手术指征为疼痛、进行性畸形、神经损伤或神经功能缺损加重。这些骨折一直是脊柱外科治疗中最大的挑战之一。前路、后路或前后联合手术在一定程度上取得了成功。据我们所知，文献中尚无关于经椎间孔腰椎椎间融合术（TLIF）治疗陈旧性胸腰椎骨折脱位的报道。
方法
病例报告。
结果
一名26岁男性，T12/L1陈旧性骨折脱位，接受了TLIF治疗。随访12个月时，多层螺旋计算机断层扫描（CT）显示T12和L1之间已实现牢固融合。随访2年时背痛完全缓解。
结论
我们对一名T12/L1陈旧性骨折脱位患者实施了TLIF，临床效果良好。TLIF可能是治疗陈旧性胸腰椎骨折的一种选择。
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