| 于海洋,干阜生,李超,梁成民,郭标,焦伟.侧后方入路椎体部分切除减压与重建术治疗胸腰椎骨折[J].脊柱外科杂志,2008,6(4):200-202. |
侧后方入路椎体部分切除减压与重建术治疗胸腰椎骨折  点此下载全文 (Fulltext) |
| 于海洋 干阜生 李超 梁成民 郭标 焦伟 |
| 236004 安徽, 安徽省阜阳市人民医院骨科;236004 安徽, 安徽省阜阳市人民医院骨科;236004 安徽, 安徽省阜阳市人民医院骨科;236004 安徽, 安徽省阜阳市人民医院骨科;236004 安徽, 安徽省阜阳市人民医院骨科;236004 安徽, 安徽省阜阳市人民医院骨科 |
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| DOI： |
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| 摘要： |
| 目的 探讨胸腰椎侧后方入路椎体部分切除减压与内固定手术治疗胸腰椎骨折的临床效果。方法 2002年8月～2006年9月对32例胸腰椎骨折患者行胸腰椎侧后方入路椎体部分切除减压内固定手术。结果 所有病例术后获得10～26个月的随访，26例椎体近解剖复位，6例复位良好。无感染、无胸膜粘连和断钉等并发症，全部椎体间骨性融合。神经功能恢复Frankel分级，除5例A级及4例E级无变化外，其余均有1～2级改善。结论 侧后方入路椎体部分切除减压内固定具有减压直接彻底、重建脊柱序列及脊髓神经功能恢复满意等特点，可用于治疗椎管占位明显或陈旧性的胸腰椎骨折。 |
| 关键词：胸椎 腰椎 脊柱骨折 截骨术 内固定器 |
| Surgical treatment of thoracolumbar fractures by partial resection of vertebral body and reconstruction through posterior-lateral approach Fulltext |
| YU Haiyang GAN Fusheng LI Chao LIANG Chengmin GUO Biao JIAO Wei |
| Department of Orthopaedics, People's Hospital of Fuyang, Fuyang 236004, China;Department of Orthopaedics, People's Hospital of Fuyang, Fuyang 236004, China;Department of Orthopaedics, People's Hospital of Fuyang, Fuyang 236004, China;Department of Orthopaedics, People's Hospital of Fuyang, Fuyang 236004, China;Department of Orthopaedics, People's Hospital of Fuyang, Fuyang 236004, China;Department of Orthopaedics, People's Hospital of Fuyang, Fuyang 236004, China |
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| Abstract: |
| Objective To study the clinical effect of surgical treatment of thoracolumbar fractures by partial resection of vertebral body and reconstruction through posterior-lateral approach. Methods Thirty-two patients of thoracolumbar fractures complicating spinal cord injuries were treated by partial resection of vertebral body and reconstruction through posterior-lateral approach from Aug. 2002 to Sep. 2006. Results All the patients were followed up for 10 months to 26 months. Twenty-six cases nearly obtained anatomic reduction, and 6 cases got fine reposition. There were no such complications as infection, pleural adhesions, screw broken and so on. The bony fusion was obtained in all the cases. The spinal cord function was improved 1-2 Frankel grades in all the patients except 9 cases, of which 5 were in grade A and 4 in grade E. Conclusion Partial resection of vertebral body and reconstruction through posterior-lateral approach has advantages of direct and complete decompression for the vertebral canal, fine reconstruction for the alignment of the spine, satisfied functional recovery of the spinal nerves. It can be applied to old thoracolumbar fractures or complicating serious intracanal compromise. |
| Keywords:Thoracic vertebrae Lumbar vertebrae Spinal fractures Osteotomy Internal fixators |
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