脊柱骨折手术治疗的进展

脊柱外科的技术进步使得脊柱骨折治疗出现了理念上和方法上的变化。椎弓根螺钉等各种内固定的使用、上颈椎等复杂部位内固定的实现、固定的微创化、计算机导航技术的发展使固定实现了准确化。这些令人眼花缭乱的进步使得大量的脊柱骨折从保守治疗转为积极的手术治疗，患者的康复得到了迅速的提高。但新技术的使用不当也会给患者带来危害，在积极应用新技术的同时，如何规范使用，避免不必要的损伤也是我们应该认真面对的课题。

Advances in surgery of spinal fracture

Technological advances in spinal surgery have brought about changes to the theories and methods of treatment of spinal fractures. New techniques, such as pedicle screw fixation, upper cervical fixation, minimal invasive method, computed navigation method, have made it possible that much more spinal fractures can be treated operatively rather than conservatively. These changes have also made the recovery of patients more satisfactory. But if the new techniques are not used properly, they can do harms to the patients. Therefore, how to apply the new techniques properly and avoid unnecessary harms to the patients at the same time is a serious problem that we must face and solve.