不同方法治疗胸腰段骨折临床观察

目的：临床应用对照研究的方法来比较和评价保守治疗、外科手术治疗胸腰段骨折。方法：１９９５年７月～１９９８年６月本院收治胸腰段单一节段（Ｔ１１～Ｌ２）爆裂骨折病人随机分组为手术组Ｈ（Ｈａｒｒｉｎｇｔｏｎ棒复位固定）、手术组Ｄ（Ｄｉｃｋ钉复位固定）、保守治疗组Ｃ（卧床后支具保护）。共７０例。获随访５８例，其中手术组（Ｈ）１６；手术组（Ｄ）１６；保守组（Ｃ）２６随访比较一年。结果：手术与非手术组病人术后

Clinical Observation on Operative or Non-operative Treatment to the Burst Fractures of Thoracolumbar Spine

Objective: Using clinical prospective study to compare operative and non operative treatments for the burst fractures of thoracolumbar spine. Methods: 70 patients who were diagnosed with the burst thoracolumbar fractures from July 1995 to June 1998 were divided into 3 groups randomly. There were Group H(operative reduction and fixation with Harrington rods), Group D(operative reduction and fixation with Dick instruments) and Group C(non operative reduction with Jewett braces taken). 58 patients were followedup for one year after treatment,including 26 in Group C, 16 in Group H and 16 in Group D. Result: Although all three groups patients were satisfied at the result objectively,significant differences could be obviously seen both on the X ray and CT. Group H had an excellent reduction, Group D worse and Group C worst. Conclusion: We recommend that non-operative treatment can be chosen but the effect of reductionis bad. Operative treatment is better because of its reduction and harrington rods has more satisfactory reduction.