摘要
目的观察后路环形减压治疗胸腰椎爆裂骨折术后2～5年的临床疗效及并发症发生情况。方法回顾性分析2007年1月-2011年3月23例胸腰椎椎体爆裂骨折患者资料,23例患者存在骨折压迫硬膜合并神经症状,均予后路环形减压。术后定期随访,采用日本骨科协会评估治疗分数、美国脊髓损伤协会脊髓损伤分级评定临床疗效及神经功能改善情况,通过影像学资料观察脊柱Cobb角变化情况。结果 23例患者手术顺利,经过2～5年的随访,出现术后脑脊液漏3例,尿路感染5例,经对症处理后好转。结论经椎弓根内侧行椎体后壁切除,可良好减压,避免神经挤压继发加重损伤,有利于神经功能恢复。
Objective To observe the effect of posterior annular decompression surgery in the treatment of thoracolumbar burst fracture and complications within two to five years after the occurrence. Methods A retrospective analysis of 23 patients with thoracolumbar vertebral burst fracture in our hospital during January 2007 to March 2011 was carried out. All 23 patients had fracture compression of the dura mater with neurological symptoms, and were treated with posterior annular decompression surgery. Regular follow-up was performed after surgery. We evaluated the treatment effect and improvement of the neurological function using Japanese Orthopaedic Association （JOA） and American Spinal Injury Association （ASIA） Impairment Scale. Imaging data were used to observe the changes of spinal Cobb angle. Results All the patients had a smooth operation. After two to five years of follow-up, the postoperative cerebrospinal fluid leakage occurred in three patients, and there were five patients with urinary tract infection, which were all improved by symptomatic treatment. Conclusion Posterior annular decompression surgery can avoid nerve compression decompression, secondary injury and is beneficial to the recovery of neural function.
出处
《华西医学》
CAS
2013年第9期1391-1393,共3页
West China Medical Journal
关键词
后路环形减压
胸腰椎
爆裂骨折
Posterior annular decompression
Thoracolumbar
Burst fracture
