摘要
目的评价经后路椎体次全切除三柱固定治疗严重胸腰椎爆裂性骨折的适应证和临床疗效。方法自2008年3月至2010年11月间采用经后路椎体次全切除三柱固定治疗严重胸腰椎爆裂性骨折患者14例,记录手术时间和术中出血量,观察手术前后神经功能ASIA分级、内固定以及并发症发生情况。结果手术时间平均247min(190～350min),术中出血量平均1200mL(950～1950mL)。术后平均随访10.7个月(2～24个月),14例中9例神经功能有不同程度的恢复,未发生内固定失败,无手术相关并发症。结论经后路椎体次全切除三柱固定可以有效进行椎管减压、恢复椎体高度并提供稳定的三柱内固定,手术并发症少,是治疗合并三柱损伤的胸腰椎严重爆裂性骨折的又一新选择。
Objective To evaluate indications and clinical effects of subtotal corpectomy and three column stabilization through posterior approach for severe thoracolumbar burst fractures.Methods From March 2008 to November 2010,14 cases of severe thoracolumbar burst fractures were treated with posterior subtotal corpectomy and three column stabilization.The operative time and estimate blood loss were recorded,preoperative and postoperative neurological function ASIA scale,internal fixation and complications were evaluated.Results The average operative time were 247 min（190-350 min）,and the average blood loss were 1 200 mL（950-1 950 mL）.All the cases were followed up for average 10.7 months（2 to 24 months）.Nine cases achieved recovery of neurological function in different degrees,and there were no operation complications or internal fixation failure in all cases.Conclusion Subtotal corpectomy and three column stabilization via posterior approach is a new alternative treatment of thoracolumbar three column burst fractures,which could provide effective canal decompression,desired vertebral body height,rigid three column fixation without the significant postoperative complications.
出处
《中国骨科临床与基础研究杂志》
2011年第1期22-26,共5页
Chinese Orthopaedic Journal of Clinical and Basic Research
关键词
脊柱骨折
胸椎
腰椎
骨折固定术
内
三柱固定
椎体次全切除
Spinal fractures
Thoracic vertebrae
Lumbar vertebrae
Fracture fixation
internal
Three column stabilization
Subtotal corpectomy
