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| 前路减压治疗陈旧性胸腰椎骨折伴截瘫12例 | |
| 引用本文： | 冯新民,戴松茂,王静成,虞堂云,董仁章. 前路减压治疗陈旧性胸腰椎骨折伴截瘫12例[J]. 实用临床医药杂志, 1999, 0(1) |
| 作者姓名： | 冯新民 戴松茂 王静成 虞堂云 董仁章 |
| 作者单位： | 扬州大学医学院附属医院!扬州，225001 |
| 摘 要： | 目的：探讨前路减压治疗陈旧性胸腰椎骨折伴截瘫的临床效果。方法：12例患者中7例单纯行前路减压+植骨，5例会并骨折脱位或严重后凸畸形行前路成压+Kaneda钉矫形内固定+植骨。结果：经6月～3年5个月随访，10例按Frankel分级有1～3级改善，平均改善1．6级，总有效率达83．3％。结论：对于脊髓前方有明显压迫物存在的陈旧性胸腰椎骨折伴截瘫患者，前路减压视野清晰，减压充分，神经损伤小，截瘫恢复率高。 |
| 关 键 词： | 胸腰椎 骨折脱位 脊髓损伤 前路减压术 |
ANTERIOT DECOMPRESSION THERAPY FOR OLD THORACOLUMBAR FRACTURES COMPLICATED WITH PARAPLEGIA |
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| Feng Xingming, Dai Songmuo, Wang Jincheng,et al.. ANTERIOT DECOMPRESSION THERAPY FOR OLD THORACOLUMBAR FRACTURES COMPLICATED WITH PARAPLEGIA[J]. Journal of Clinical Medicine in Practice, 1999, 0(1) | |
| Authors: | Feng Xingming Dai Songmuo Wang Jincheng et al. |
| Affiliation: | Feng Xingming; Dai Songmuo; Wang Jincheng; et al. |
| Abstract: | Objective: To study the clinical results of anterior decompression therapy for old thora-columbar fractures complicated with paraplegia (OTFCP). Method: Of 12 such patients, 7 underwentanterior decompression and bone graft, and 5 cases with fracture - dislocation or severe hyphosis receivedanterior decompression together with Kaneda screw orthesis, internal fixation and bone graft. Result:The follow - up varied from six months to 3 and a half year. According to Frankel calssification, 10 pa-tients improved from 1 to 3 grades, the total effective rate being 83. 3%. Conclusion: Anterior decom-pression for OTFP patients with obvious compressive object in front of the spinal cord leads to clear field ofoperation, sufficient decompression, less nerve injury and high - rate recovery for patients with paraple-gia. |
| Keywords: | thoracolumbar fracture-dislocation spinalcord injury anterior decompression |
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