| 前路减压与重建治疗胸腰椎爆裂性骨折 |
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| 引用本文： | 卢畅 陈飞 等. 前路减压与重建治疗胸腰椎爆裂性骨折[J]. 湖南医科大学学报, 2002, 27(6): 525-526 |
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| 作者姓名： | 卢畅 陈飞 等 |
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| 摘 要： | 目的：探讨胸腰椎爆裂性骨折前路关压与重建的临床意义。方法：对67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：67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48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。
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| 关 键 词： | 前路减压 治疗 胸腰椎爆裂性骨折 前路重建 内固定 |
Anterior decompression and reconstruction in the treatment of thoraco-lumbar burst fractures] |
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| Chang Lu,Fei Chen,Guo-hua Lü. Anterior decompression and reconstruction in the treatment of thoraco-lumbar burst fractures][J]. Bulletin of Hunan Medical University, 2002, 27(6): 525-526 |
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| Authors: | Chang Lu Fei Chen Guo-hua Lü |
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| Affiliation: | Department of Spine Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China. |
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| Abstract: | 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-lumbar 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. |
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