Transpedical Screw with Roy-Camille Plate in Thracolumbar and Lumbar Fracture

Roy-Camille鋼板在胸腰椎骨折方面的運用

郜漢中(Han-Chung Kao) ； 劉建麟(Chien-Lin Liu) ； 余榮光(Wing-Kwong Yu) ； 羅惠熙(Wai-Hee Lo)

《Journal of Orthopaedic Surgery Taiwan》 8卷4期 (1991/12) Pp. 215-223

摘要

台北榮總於民國76年5月至78年6月之間，因為外傷造成脊柱的不穩定病人當中，我們使用Roy-Camille鋼板治療了16個病人，有11個病例屬於爆裂性骨折，5個屬於弢折合併脫位，這些病人當中有2位下肢完全癱瘓，7個有部分的神經損傷，另外7人完全沒有神經受損的症狀。我們使用Roy-Camille鋼板從脊柱後側固定同時加上骨融合術，其中有6例爆裂性骨折的病人祇固定了3個柱體，中間受傷的那節椎骨也以較短的螺絲釘加強固定。最後追蹤時復位角度的損失:在固定3節、4節或5節的病人中分別是8.5度、4.6度及3度，但是最級的臨床結果並沒有差異，94%的病人都有相當滿意的功能恢復。有2例螺絲釘斷裂，1例釘子向後鬆動（均發生在鋼板尾端），其它沒有明顯的併發症發生。我們認為Roy-Camille鋼板在治療胸腰椎外傷方面，非常安全，使用簡單，而且效果相當良好。

並列摘要

From May 1987 to June 1989, sixteen patients with traumatic unstable spine were stabilized by Roy-Camille spates at our hospital. There were eleven burst fractures and five fracture dislocations. Two patients had complete paraplegia seven had incomplete neurologic deficit, and seven were withour neurologic problem before operation. Roy-Camille plate were applied to bilateral pedicles in addition to posterior and/or posterolateral fusion for every patient. Six burst fractures were fixed with one level above and one level below together with a short screw in the fractured vertebral pedicles. In an average of 18 months follow-up (range 6-27 months), the average reduction losses are found to be 8.5, 4.6 and 3.0 degrees respective for the groups of 3,4 and 5 vertebral body fusions. The fusion mass was solid in all cases. No significant difference is found among the three groups. There-were 2 broken screws and one screw back out. All of them were located at the lowerest level of the plate. Roy-Camille plate was safe, and effective in our clinical experience with thoracolumbar and lumbar fractures.

並列關鍵字

Roy-Camille plate ； transpedicle screw ； burst fracture