摘要
本文报告25例胸腰椎不稳定骨折,其中合并完全性截瘫者7例。不全瘫16例,无神经损害者2例。全部病例均采用双哈氏捧内固定,其中14例同时行椎板减压,15例行横突间融合。术后平均随访14.2个月。7例全瘫无改善;16例不全瘫肌力有1～3级的功能恢复。文中着重讨论了手术、椎板减压及并发症等问题。
Twenty-five patients with unstable fractures of thoraco-lumbar spine were treated by Harrington distraction instrumentation between 1983 and 1987,Among them, 7 patients had complete paraplegia, 16 incomplete paraplegia, and 2 without neurological deficit. Fourteen cases were treated with laminectomy and 15 with posterior spine fusion All patients have been followed up for an average of 14.2 months The status of functional recovery after operation was assessed according to the criteria suggested by Frankel. Seven patients with complete paraplegia remained unchanged while 16 with incomplete paraplegia had improvement up to 1-3 grades. It is concluded that Harrington distraction instrumentation offers a better chance for reduction of fracture and decompression of spinal cord It affords also better stability at the fracture site and early rehabilitation However. eaution should be taken to guard against injudicious use of Harrington-mentation systems which may also cause serious complications during management of these fractures.
出处
《中华创伤杂志》
CAS
1988年第3期147-149,共3页
Chinese Journal of Trauma
