后路TSRH内固定及环脊髓减压治疗外伤性截瘫

目的：评价TSRH内固定后环脊髓减压治疗外伤性截瘫的应用价值。方法：对12例外伤性胸腰椎骨折合并截瘫行TRSH内固定后用“环钻”作椎管行减压和治疗效果进行临床分析。结果：12例病例经平均18个月随访，全部病例椎体高度恢复良好，神经系统症状有不同程度改善。结论：TSRH内固定后行环脊髓减压既保证了脊柱的稳定性，有效的恢复了椎体的高度，同时，从后路解除了脊髓前方的压迫，简化了手术操作，为截瘫的恢复提供了有利的解剖学基础。

TSRH Fixation Systen and Posterior Transpedicular Decompression in Treatment of Thoracolumbar Burst Fracture

Objective: To study and evaluate the application of TSRH fixation system and posterior transpedicular decompression in thoracolumbar burst fracture. Methods: 12 cases of thoracolumbar or lumbar burst fracture were treated with transpedicular decompression and TSRH fixation and observed correction of kyphosis,the recovery of nerve function and the height of the vertehra. All patients were evaluated with clinical sings, X-ray and CT before and after operation. Results:Of 12 cases,the height of compressed vertebral bodies was restored. They were followed up for an average of 18 months. The neurological deficit got a better recovery. Conclusion:TSRH fixation system and posterior transpedicular decompression can achieve anatomical reduction, decornpression of spinal cordeffectively through posterior approach. It is easy to operate and especially useful for the treatment of thoracolumbar burst frac- ture.