简介:摘要目的就9例胸腰椎骨折经后路椎弓根螺钉内固定断裂松动的病例进行分析,以探讨螺钉断裂的原因。方法9例胸腰椎骨折发生断裂的病例,4例松动,3例断钉,2例连接杆松动断裂。结果(1)螺钉负荷过大(2)内固定物取出过晚(3)卧床时间过短(4)内固定未行一期植骨或植骨不够确切(5)内固定物由于长期不取出发生金属疲劳(6)椎间盘高度的丢失。结论对经后路型椎弓根螺钉内固定的胸腰椎骨折患者重视骨折内固定物的断裂松动的并发症,术中有效的植骨融合,术后至少卧床休息2—3个月,在6—8个月以后根据患者恢复情况尽早取出内固定物。内固定物取出时间的适宜能减少脊柱骨折内固定物断裂松动的发生。
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