侧前路减压节段固定治疗胸腰椎爆裂性骨折伴不完全性瘫痪

目的：探讨侧前路减压短节段融合固定治疗胸腰椎体爆裂性骨折伴小完全性瘫痪的临床价值。方法：回顾31例胸腰椎体爆裂性骨折伴不完全性瘫痪，行侧前路减压，16例采用Z—PLATE、15例采用TSRH系统短节段融合同定。结果：31例均获得随访，平均随访16个月(5～26个月)，术后椎间隙高度及胸腰椎生理曲度恢复满意，平均Cobb’s角(度)及平均椎管狭窄指数得到明显改善，Frankel分级提高1～3级。本组未发生断棒脱钉等并发症。结论：侧前路减压短节段融合同定具有符合胸腰椎生物力学要求、减压直接彻底及融合率高等特点，为脊髓神经功能的恢复尽可能提供最大机会。

Thoracolumbar vertebra burst fractures complicated with incomplete paraplegia treated with anterolateral decompression and thoracolumbar anterior short segment fixation

Objective: To investigate the clinical effects of anterolateral decompression and thoracolumbar anterior short segment fixation in treatment of the thoracolumbar vertebra burst fractures complicated with incomplete paraplegia. Methods: 31 patients with thoracolumbar burst fractures complicated with incomplete paraplegia were treated with anterolateral decompression and thoracolumbar anterior short segment fixation, 16 patients with Z-PLATE, 15 with TSRH system. Results:: 31 patients were followed up on the average of 16 months, the intervertebral space height and thoracolumbar vertebral curvature were recovered satisfactorily, while the average cobb's angle, spinal canal index and Frankel grade were improved outstandingly. There was no complication in our case, such as break or mobilization of platescrew. Conclusions: Anterolateral decompression and thoracolumbar anterior short segment fixation is accorded with the spinal biomechanical principle and can effectively reconstruct spinal stability, which decompress the vertebral canal directly and thoroughly and make the nerves to obtain maximal functional recovery.