【摘要】 目的 探讨椎弓根内固定系统在胸腰椎骨折内固定中的治疗效果。方法 1998年以来，我院采用椎弓根钉系统内固定，后路减压后外侧植骨治疗胸腰段脊柱骨折57例，其中45例获随访，平均随访16个月(6～22个月)。结果 本组除4例单侧螺钉松动外，无严重并发症，X线片随访，脊柱成角及压缩畸形均获较好矫正。结论 笔者认为对于腰椎段脊柱骨折的手术治疗，椎弓根钉系统内固定较传统哈氏棒，具有三维矫形、固定牢固、固定节段少、损伤小、易于取出等优点。

    【关键词】 胸腰椎骨折；后路减压；后外侧植骨；椎弓根钉系统

    【Abstract】 Objective To investigate the efficacy of pedicle screw system in thoracolumbar fracture inserted.Methods Since 1998,57 cases traumatic thoracolumbar fracture had been oprated by inserted pedicle screw system,posterior decompressive intertransverse process bone fusion,45 patients had been followed up for 16 months(6～22 months)on average.Results No serious complication were found during follow up except 4 cases with single side bone screws loosening,malformation were corrected well under X-ray.Conclusion Author suggested that opration of thoracolumbar fracture,pedicle screw system had merits of three-dimensional orthopaedic,fixed ......