摘要
目的 探讨复杂脊柱骨折的表述与手术治疗原则。方法 分析我科1998-2004年收治的102例多节段脊柱骨折和脊柱骨折脱位的病例资料，提出了一个新的定义，即复杂脊柱骨折；并对所有病例进行分类，不同的类型采取不同的手术策略。结果 52例平均随访3年2个月。Frankel分级改善1级26例，2级16例，3级8例，无改善2例，未发现有迟发型神经障碍者。结论 对于不同的骨折类型结合其术前评定提出不同的手术策略，对脊柱稳定性及脊髓损伤的恢复至关重要。
Objective To discuss the expression and surgical principle for complicated spine fractures. Methods The clinical data of 102 cases with multiple-level spinal fracture and spinal fracture-dislocation in our department from 1998-2004 were analysed. Based on the treatments, a new definition, complicated spine fracture was introduced. The classification was made in all the cases ,and different operation strategies were adopted with regard to various classification of fracture. Results The follow-up results （ average of 3 years and 2 months ） showed that 26 cases were improved （1 grade by Frankel grade scores） ,16 cases were improved as 2 grades,8 cases were improved as 3 grades,2 case was not improved. Neurological disorder was not found. Conclusion It is essential to adopt different kinds of operation according to preoperative evaluation,which contributes a lot to spinal stabilization and recovery of spinal injury.
出处
《创伤外科杂志》
2006年第1期36-39,共4页
Journal of Traumatic Surgery
关键词
脊柱骨折
脊髓损伤
分类
评分
手术策略
spine fracture
spinal cord injury
classification
evaluation
operation strategy
