哈氏棒治疗不稳定胸腰椎骨折脱位
作者：蔡立忠 钟国荣 黄碧玲 吴培增 张建新 陈学明
单位：蔡立忠 黄碧玲 吴培增 张建新(泉州市中医院，福建 泉州 362000)；钟国荣 陈学明(南京军区福州总医院，福建 福州)
关键词：脊柱损伤；骨折固定术；内；哈氏棒
中国骨伤000911摘 要：目的总结哈氏棒在治疗不稳定胸腰椎骨折脱位中的优缺点及注意事项。方法87例均采用哈氏棒治疗。其中62例予以椎板切除减压及/或切开硬脊膜探查脊髓，25例行棘突打孔钢丝固定双棒，65例做了自体植骨融合术。结果48例经1～11年随访，平均5年4个月，22例完全康复，有14例发生各种并发症。结论哈氏棒是一种符合生物力学的内固定器材，具有较强的纵向撑开力，能使骨折脱位得到很好复位，但亦具有一些缺点，如术中能做到置钩前预制好骨孔，并将哈氏棒预弯成与伤段脊柱相应的生理弧度，加用钢丝固定双棒，行后路植骨融合，术后使用支架保护，严格无菌操作等，可大大降低并发症的发生。
, 百拇医药
Treatment of unstable thoracolumbar vertebra fracture and dislocation by Harrington rod
CAI Li-zhong ,ZHONG Guo-rong ,HUANG Bi-ling
(Ouanzhou Hospital of TCM Fujian Quanzhou, 362000)
Abstract：Objective To evaluate the merits and shortcomings of Harrington rod for the treatment of unstable thoracolumbar vertebra fracture and to discuss the points of attention of the method. Methods 87 cases were treated with Harrington rod. Laminectomy and/or exploration of the spinal cord were performed in 62 cases. Bilateral rods were fixed with the wire through spinal processes in 25 cases. Auto-graft of bone were performed in 65 cases. Results 48 cases were followed up from 1 to 5 years after operation. The average follow-up was 5 years and 4 months. 22 cases recovered completely, and some various complications occurred in 14 cases. Conclusion Harrington rod is an effective internal fixation device for the reduction of fracture and dislocation of vertebra with its longitudinal stress. This device corresponds to the biomechanics of the spinal column. But during the operation, complications should be avoided or diminished by performing strict aseptic technique, bending of the rod to a proper physiological curvature which corresponds to injured spine, doing posterior bone grafting and using corset support after operation.
, 百拇医药
Keywords：Spinal injuries Fracture fixation, internal Harrington rod
参考文献：
[1]Denis F. Spinal instability as defined by three column spine concept in spind trauma. Clin Orthop, 1984, 189: 65.
[2]Frankel MM. Neurological. progress after traumatic guadripleia. J. Neurosurg, 1979, 50: 611.
[3]Diekson JH, Harrington RP, Erwin WD. Harrington instrumentation in the fracture unstable thoracic and lumbar Spine. J Bone Joint Surg(Am), 1973, 55: 422.
[4]胥少汀.脊柱支撑器治疗胸腰段骨折脱位.创伤杂志，1985，1(2): 93.
[5]陆裕朴，胥少汀，葛宝丰，等.实用骨科学.北京：人民军医出版社，1991.261.
[6]邱勇，唐天驷，朱国良，等.哈氏棒治疗胸腰椎骨折对椎管前减压的CT观察.中华骨科杂志，1991，4(11)：278-280.
收稿日期：1998-09-21
修稿日期：1999-03-17, http://www.100md.com
单位：蔡立忠 黄碧玲 吴培增 张建新(泉州市中医院，福建 泉州 362000)；钟国荣 陈学明(南京军区福州总医院，福建 福州)
关键词：脊柱损伤；骨折固定术；内；哈氏棒
中国骨伤000911摘 要：目的总结哈氏棒在治疗不稳定胸腰椎骨折脱位中的优缺点及注意事项。方法87例均采用哈氏棒治疗。其中62例予以椎板切除减压及/或切开硬脊膜探查脊髓，25例行棘突打孔钢丝固定双棒，65例做了自体植骨融合术。结果48例经1～11年随访，平均5年4个月，22例完全康复，有14例发生各种并发症。结论哈氏棒是一种符合生物力学的内固定器材，具有较强的纵向撑开力，能使骨折脱位得到很好复位，但亦具有一些缺点，如术中能做到置钩前预制好骨孔，并将哈氏棒预弯成与伤段脊柱相应的生理弧度，加用钢丝固定双棒，行后路植骨融合，术后使用支架保护，严格无菌操作等，可大大降低并发症的发生。
, 百拇医药
Treatment of unstable thoracolumbar vertebra fracture and dislocation by Harrington rod
CAI Li-zhong ,ZHONG Guo-rong ,HUANG Bi-ling
(Ouanzhou Hospital of TCM Fujian Quanzhou, 362000)
Abstract：Objective To evaluate the merits and shortcomings of Harrington rod for the treatment of unstable thoracolumbar vertebra fracture and to discuss the points of attention of the method. Methods 87 cases were treated with Harrington rod. Laminectomy and/or exploration of the spinal cord were performed in 62 cases. Bilateral rods were fixed with the wire through spinal processes in 25 cases. Auto-graft of bone were performed in 65 cases. Results 48 cases were followed up from 1 to 5 years after operation. The average follow-up was 5 years and 4 months. 22 cases recovered completely, and some various complications occurred in 14 cases. Conclusion Harrington rod is an effective internal fixation device for the reduction of fracture and dislocation of vertebra with its longitudinal stress. This device corresponds to the biomechanics of the spinal column. But during the operation, complications should be avoided or diminished by performing strict aseptic technique, bending of the rod to a proper physiological curvature which corresponds to injured spine, doing posterior bone grafting and using corset support after operation.
, 百拇医药
Keywords：Spinal injuries Fracture fixation, internal Harrington rod
参考文献：
[1]Denis F. Spinal instability as defined by three column spine concept in spind trauma. Clin Orthop, 1984, 189: 65.
[2]Frankel MM. Neurological. progress after traumatic guadripleia. J. Neurosurg, 1979, 50: 611.
[3]Diekson JH, Harrington RP, Erwin WD. Harrington instrumentation in the fracture unstable thoracic and lumbar Spine. J Bone Joint Surg(Am), 1973, 55: 422.
[4]胥少汀.脊柱支撑器治疗胸腰段骨折脱位.创伤杂志，1985，1(2): 93.
[5]陆裕朴，胥少汀，葛宝丰，等.实用骨科学.北京：人民军医出版社，1991.261.
[6]邱勇，唐天驷，朱国良，等.哈氏棒治疗胸腰椎骨折对椎管前减压的CT观察.中华骨科杂志，1991，4(11)：278-280.
收稿日期：1998-09-21
修稿日期：1999-03-17, http://www.100md.com