腰髂固定联合骶管减压治疗不稳定型骶骨U型骨折

摘要

目的：探讨腰髂固定联合骶管减压治疗不稳定型骶骨U 型骨折的临床疗效。方法采用腰椎椎弓根螺钉联合髂骨螺钉固定联合骶管神经孔减压治疗8例不稳定型骶骨U型骨折患者。结果8例均获得随访，时间8～18个月，骨折均愈合。根据Gibbons评分标准评定神经功能改善情况，术前2.8～3.8分，术后1.3～2.47分。结论腰髂固定手术相对简单安全，同时可以减压骶管和骶前孔，重建骨盆稳定性，促进神经功能的恢复，是治疗不稳定骶骨骨折的有效方法。%Objective To investigate the clinical effect of lumbopelvic fixation combined with posterior sacral decom-pression for unstable U-shaped sacral fractures.Methods 8 cases of unstable U-shaped sacral fractures were treated with open reduction,posterior sacral decompression and lumbopelvic or lumbosacral fixation.Results 8 patients were followed up for 8~18 months.Bone union was achieved in all cases.Efficacy was assessed by Gibbons scoring criteria.The Gibbons score was improved from (2.8~3.8)to (1.3 ~2.47).Conclusions Lumbopelvic fixation, probiding the lumbopelvic stability,has advantages of easy manipulation.Good neurological recovery can be expected after sacral decompression.It is an effective method for the treatment of unstable sacral fractures.