摘要
胸腰椎骨折是临床常见的损伤之一,如何正确诊断、正确分型对临床指导治疗具有重要意义。胸腰椎骨折分型系统众多,目前仍没有一种分型被普遍公认并指导临床应用。Denis分型、载荷分享评分系统以及胸腰椎损伤严重程度评分系统/胸腰椎损伤分类和严重程度评分、AO Spine胸腰椎损伤分类系统等在临床上应用广泛,但各种分型系统都存在一定局限。近些年,各种分型系统仍在不断修正、补充、完善,临床中使用这些骨折分型时,不同的人分型往往存在一定偏差。该文将对目前广泛应用的胸腰椎骨折分型系统进行回顾分析,探讨各分型系统的优缺点,展望未来的研究方向,为临床应用提供帮助。
Thoracolumbar injury is a common injury in clinic. Accurate diagnosis and classification is of great significance for guiding treatment. Although there are many typing systems, no typing system has been widely accepted and used to guide clinical practice. Denis classification, spinal load classification, thoracolumbar injury classification system and severity score or thoracolumbar injury classification and severity score and AO classification have great influence in clinical practice, but they all have some shortcomings. In recent years, the classification of thoracolumbar injury has been updated, modified and supplemented constantly. When using these fracture types in clinical practice,different people often have some deviation. This paper reviews the widely used thoracolumbar injury classification system,discusses the main viewpoints, advantages and disadvantages of each classification system, and looks into the future research direction based on the current research progress.
作者
杨胜
李海波
苟永胜
许圣茜
龚德志
YANG Sheng;LI Haibo;GOU Yongsheng;XU Shengxi;GONG Dezhi(Department of Orthopedics,West China(Airport)Hospital Sichuan University,the First Peoples Hospital of Shuangliu District,Chengdu,Sichuan610200,P.R.China)
出处
《华西医学》
CAS
2022年第10期1549-1553,共5页
West China Medical Journal
基金
四川省医学会骨科(尚安通)专项科研课题(2019SAT33)。
关键词
胸腰椎骨折
分型
脊柱骨折
Thoracolumbar injury
classification
spinal fracture
