前路减压与重建治疗胸腰椎爆裂性骨折

目的 :探讨胸腰椎爆裂性骨折前路减压与重建的临床意义。方法 :对 6 7例胸腰椎骨折伴椎管内神经受压患者行椎管侧前方减压、植骨 ,应用椎体钉、zeilke和Kaneda装置内固定 ,观察术前、术后Frankel评分。结果 :6 7例患者平均随访 30 .1月 ,术后脊柱序列恢复正常 ,无继发性后凸畸形发生 ,Frankel分级A级 3例 ,C级 4例 ,D级 10例 ,E级 4 8例 ;95 .4 %有 1级以上功能恢复。结论 :前路减压彻底 ,前路重建可靠 ,且符合脊柱生物力学特征

Anterior decompression and reconstruction in the treatment of thoraco-lumbar burst fractures

Objective To describe the clinic results and advantages of anterior decompression and reconstruction in the treatment of thoraco lumbar burst fractures. Methods Sixty seven cases with the thoraco lunbar fractures accompanied with the compression of the spinal cord were treated by anterior decompression and internal fixation. The Frankel impair scale of preoperation and postoperation was observed. Results The follow up was 30.1 month in average. All postoperation spinal alignments were good. No secondary kyphnosis occurred; in 95.4% of the patients, the Frankel score rose more than one degree. Conclusion Anterior decompression is complete and anterior reconstruction is strong, and both are fit to spinal biomechanical characteristics.