前路减压植骨内固定治疗胸腰椎骨折

目的:探讨胸腰椎骨折的前路减压植骨内固定的临床疗效.方法:采用前路减压自体髂骨植骨内固定术治疗胸腰椎骨折14例,其中10例合并不全瘫.结果:术后随访3个月～2 a,平均1 a,14例病人脊柱畸形矫正满意,生理曲度恢复,植骨均达到骨性融合.10例术前有脊髓功能损伤患者术后有1～3级的神经功能恢复,无内固定松动、断钉、断板等发生.结论:前路手术安全可靠,椎管减压彻底,可重建脊柱的稳定性,恢复脊柱的生理曲度.

Surgical Treatment of Thoracolumbar Spinal Fractures by Anterior Instrumentation

Objective:To evaluate clinical effects of internal fixation by anterior approach and bone graft in the treatment of thoracolumbar spinal fractures.Methods:14 cases of thoracolumbar spinal fractures adopt internal fixation by anterior decompression and autoallergic iliac bone graft.10 of 14 cases were accompanied with paresis.Results:The durations of follow-up ranged from 3 months to 2 years(average of 1 year).14 patients showed that satisfactory recovery of spinal deformity and physiological curvature.The bone grafts got to osseous coalesce.Their nerval functional recovery achieved 1 to 3 degree after operation.10 cases with preoperative impaired myelonic function also gained satisfaction from operations,without loosening,breaking of nails or plates.Conclusion:Anterior instrumentation not only make vertebral canal to be decompressed completely,but also rebuild spinal stability,and revert spinal physiological curvature.It is a safe and reliable method for treating thoracolumbar spinal fractures.