Clinical alanyze of application of Z-plate anterior fixation system for 50 thoracolumbar fracture / 重庆医科大学学报

ABSTRACT

Objective:To evaluate clinical efficacy of Z-plate and indications for the anterior fixation system for thoracolumbar fracture.Methods:50 cases of thoracolumbar fracture underwent direct anterolateral decompression with sagittal reduction and corpectomy,antologous bone-grafting reconstruction and Z-plate fixation procedure.Results:4 cases were lost to follow-up,and 46 cases were followed up from 4 to 36 months.According to Frankel classification of neurologic deficit,36cases with neurologic deficits recovered completely;8 cases obtained a good functional outcome;2 case didn’t recoved;No patient had neurologic deterioration after surgery Neither breakage of loosening of connections wac found.conclusion:Z-plate system is an effective ideal thoracoiumbar anternal fixation system.It has the advantages of reliable easy manipuplation,safety andless comlications.