前入路减压伤椎内固定术治疗胸腰椎爆裂性骨折

目的前入路减压伤椎内固定术式治疗胸腰椎爆裂型骨折的可行性分析及效果评价。方法对35例胸腰椎爆裂骨折患者行前路减压,切除后突的椎体骨块,解除对硬膜的压迫,于伤椎及其上椎体间隙植骨融合内固定。结果随访6～24个月,平均9个月,神经功能平均有1级以上的恢复。植骨块全部融合,椎体高度恢复满意,椎管容量扩大,无骨片残留。结论该术式疗效肯定,但要严格掌握手术要点、适应证。

Anterior approach decompression and internal fixation in the treatment of thoracolumbar burst fractures

Objective To observe the efficacy of anterior approach decompression with bone graft and internal fixation in the treatment of thoraeolumhar burst fractures.Methods 35 cases with thoracolumbar burst fracture received anteriorde compression,bone graft and internal fixation by resectting the bone fragment of posterior edge ofvertebrae to relieve oppression to the spinal duramater.Results All cases were followed up for an average of 9.6 months(6~24 months).The nerve functionwas improved of grade I and more according to ASIA grading.All the bone grafts were union and vertebral canals were enlarged,without bone remaining.Conclusion The efficacy of this operation is confirmative if the operator is familiar with the operative and good atdealing the main points of this procedure.