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保留后结构环状减压手术治疗急性胸腰段脊柱损伤
引用本文:胡晓亮,方弟弟,厉国定,胥成平,秦惠敏,向艾力. 保留后结构环状减压手术治疗急性胸腰段脊柱损伤[J]. 中华创伤骨科杂志, 2001, 3(3): 185-187
作者姓名:胡晓亮  方弟弟  厉国定  胥成平  秦惠敏  向艾力
作者单位:200000,上海市,浦东新区人民医院骨科
摘    要:目的探讨保留脊柱后结构环状减压复位内固定的手术方法,治疗急性胸腰段脊柱脊髓损伤的临床效果.方法对38例急性脊柱脊髓损伤伴不全瘫痪的病例进行椎管内骨块复位,环状的脊髓及神经根减压,保留棘突、棘间韧带、小关节的手术方法治疗.结果随访31例,时间10~42个月,平均16个月,按Frankel分级,术后神经功能恢复3级者5例,2级者24例,1级者2例.结论对于急性脊柱脊髓务的病例,应用保留脊柱后结构环状减压内固定的方法,是兼顾脊髓减压的彻底性和保持脊柱稳定性较为合理、有效的手术方法.

关 键 词:脊柱骨折 脊髓损伤 手术减压
修稿时间:2001-06-04

Posterior Structure Remaining Circular Decompression in the Operative Treatment of Acute Thoracolumber Spinal Injury
HUXiaoliang,FANG Didi,LI Guoding,et al.. Posterior Structure Remaining Circular Decompression in the Operative Treatment of Acute Thoracolumber Spinal Injury[J]. Chinese Journal of Orthopaedic Trauma, 2001, 3(3): 185-187
Authors:HUXiaoliang  FANG Didi  LI Guoding  et al.
Affiliation:HUXiaoliang,FANG Didi,LI Guoding,et al. Department of Orthopaedics,Shanghai Pu-dong New District People's Hospital 200000
Abstract:Objective To investigate the clinical results of the operative method of posterior structure remaining circular decompression with reduction and internal fixation in treatment of acute thoracolumber spinal injury. Methods To treat 38 cases of acute spinal cord injury complicated with incomplete paraplegia with the operative methods of circular decompression of spinal cord and nerve roots and reduction of bone fragments in spinal canal with remaining processus spinosus, interspinal ligaments and small articulations. Re-sults31 cases were followed up for 10 to 42 months. The average time was 16 months. According to Frankel Grade , postoperative nerve function improved 3 grades 5 cases , 2 grades 24 cases, 1 grades 2 cases. Conclusion To treat acute spinal cord injry with spinal posterior structure remaining circular, decompression and internal fixation is a reasonable and practicable operation which can decompress spinal cord completely and preserve spinal stabilization.
Keywords:Thouralolumbar fractufes Spinal cord injury Decompression operation.
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