前路减压、钛网支撑植骨、Z-Plate钢板内固定治疗陈旧性胸腰段脊柱骨折

Objective To study the advantages of anterior decompression, internal fixation with Z-Plate fixation system and titanium fete supporting bone autograft for old thoracolumbar spinal fracture with spinal cord injury. Methods 48 cases of old thoracolumbar spinal fracture with spinal cord injury had been carried out analysis, retrospectively. Results 48 cases were performed anterior decompression and Z-Plate fixation with titanium rete supporting bone autograft. The average follow-up time was 16.5 months. All got intervertebral bony fusion. The function, of spinal cord was improved 1.1 grades on average in 95.8% of all cases according to the Frankel classification. No complication was found. Conclusions It could sufficiently utilize the bone in spinal decompression for autograft, avoid autograft of iliac bone, correct the spinal kyphosis, increase the spinal fusion rate and regain spinal stability with anterior decompression and titanium rete for supporting bone autograft using Z-Plate fixation system.