摘要
报告我院１９８０年２月～１９９３年７月收治４６例胸腰椎爆裂骨折，涉及椎体４９个。笔者将骨折的诊断分为上终板损伤型，上下终板损伤型，上终板及侧方挤压型，爆裂旋转型及多椎体损伤型。提出治疗早期应行切开复位减压及内固定术；在不伴神经损伤或严重爆裂型骨折，早期可行保守观察。骨折及脱位复位是达到理想减压的重要方面，单纯椎板减压不应推荐。爆裂骨折有椎体间自然融合的可能性，融合术仅适应晚期存在脊柱不稳定病例。内固定方式应选用短节段经椎弓根钉固定。神经损伤的康复主要与原始损伤严重性及骨折复位减压相关。
Forty six cases of thoracolumbar vertebrae burst fracture, involving 49 vertebrae were treated in our hospital in Feb 1980 July 1991 and they were classified as 5 types: superior end plate injury, superior and inferior end plate injury, burst rotational injury and multiple vertebral injury. It is concluded that open reduction, decompression and internal fixation in the early stage are beneficial for recovery of spinal cord injury, in cases without neurologic defect, conservative treatment is often used for decompression, reduction of fracture and dislocation is most important, indication of spine arthrodesis only suits the cases of spine instability, and segmental transpedical fixation is the best way for thoracolumbar burst fracture. Laminectomy should be used prudently. (Original article on page 335)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1995年第6期335-337,共3页
Chinese Journal of Trauma
关键词
胸椎
腰椎
爆裂骨折
内固定
诊断
治疗
Burst fracture Reduction Decompression Internal fixation
