摘要
目的 胸腰段脊柱骨折在临床上较为多见 ,目前治疗方法也多种多样。本文通过对 12 6例胸腰段脊柱骨折病人的手术效果临床总结 ,探讨治疗胸腰段脊柱骨折的有效手术方法。方法 对 12 6例胸腰段脊柱骨折病人采用前路、后路及前后路联合入路 ,固定、减压、植骨融合。按Frankel分级进行 6周至 2年的术后随访 (平均 8个月 )。结果 12 6例胸腰段脊柱骨折病人 ,术后脊髓损伤有不同程度的恢复 ,重建脊柱的稳定性 ,取得了较好的临床效果。结论 对胸腰段脊柱骨折病人 ,要严格掌握手术适应症及合理地使用内植物 ,后路和椎弓根固定系统不能治疗所有的胸腰段脊柱骨折的病人 ,前路手术虽然减压彻底 ,植骨融合效果很好 ,但固定效果并不比后路效果好 ;对胸腰段三柱骨折的不完全截瘫病人 ,而且骨折块突入椎管超过 5 0 % ,最佳的手术方案为前后路联合入路的手术方法。
Objective To explore the effect surgery of the thoracolumber fracture.Methods 126 patients who suffered thoracolumber fracture were reviewed in our hospital from 2001 to 2002.The treatment method included anterior, posterior and anterior-posterior vertebral operation, internal fixation, decompression and bone graft fusion. According to the Frankel classification, they were followed up 0.5-1 year(average was 8 months).Results All patients were good outcome. The spinal cord injure had recovery partly, at the same time, the stability of spine was rebuilt.Conclusion It is necessary to the patient who suffered thoracolumber fracture that we must grasp the surgery condition and use the internal fixation in reason .The posterior vertebral operation and the pedicle screw system can't be used to all thoracolumber fracture. Though the anterior operation have some excellence such as decompression to the cord the effect of bone graft, the effect of fixation was worse than the posterior operation. The best method is anterior-posterior operation to that patient who was three columns fracture combined with partly paralysis and the bone fragment that inbursted spinal canal exceeded 50%.
出处
《宁夏医学杂志》
CAS
2004年第9期536-538,共3页
Ningxia Medical Journal
关键词
胸腰段
骨折
手术方法
Thoracolumber
Fracture
Treatment method
