摘要
目的观察和分析前路手术治疗脊柱胸腰段爆裂骨折的疗效。方法采用前方减压前路植骨内固定治疗胸、腰椎爆裂骨折脱位36例,平均随访时间12个月。结果术前椎体压缩33.5%～69.5%,平均45.9%,术后椎体高度基本恢复正常。按美国脊柱损伤协会(ASIA)分级神经功能均有1级以上的恢复,其中16例完全恢复正常。随访期间未见后凸畸形复发或加重。内固定物无松动、脱落及折断现象。结论前路手术可以重建脊柱稳定性,减压充分,是治疗胸腰椎爆裂骨折的重要方法。
Objective To observe and analyze the anterior thoracolumbar burst fractures. Methods The anterior decompression and bone graft fixation for anterior thoracic and lumbar burst fracture and dislocation in 36 cases, mean follow - up time of 12 months. Results Preoperative vertebral compression was 33.5% ~ 69.5% , 45.9% on average, patients returned to normal vertebral height. By American Spinal Injury Association （ASIA） classification has one or more neurological recovery, 16 cases return to normal completely. Kyphosis was no recmTence during follow - up or increased. Fixation without loosening off and breaking phenomenon. Conclusion The anterior approach for reconstruction of spinal stability, adequate decompression is the important way in treatment of thoracolumbar burst fracture.
出处
《中国医学创新》
CAS
2011年第10期20-21,共2页
Medical Innovation of China
关键词
胸腰椎
骨折
前路手术
Thoracolumbar
Fracture
Anterior
