摘要
脊柱骨折年发病率约64／100000。随着交通、工业建筑事故的不断增加，胸腰椎骨折的发病率呈逐年上升趋势。脊柱胸腰段（T11--L2）处于相对固定的后凸脊柱与活动的前凸脊柱的转换区域，应力相对集中而容易受到传导暴力的直接损伤，该部位骨折约占脊柱创伤75％～95％，椎体发生爆裂骨折后，后缘骨折块往往突入椎管导致脊髓或马尾损伤。近年来，随着影像学、生物力学对胸腰椎骨折研究的不断深入，在治疗方面也出现了许多新理论、新技术，但手术与否、手术时机、手术人路、术式的选择方面，仍有争议；现将研究状况综述如下。
With the increase of the number of traffic and industrial accidents, the incidence of thoracolumbar burst fractures （ TBF ） is rising year by year. The thoracolumbar segment of the spine is particularly susceptible to direct damage by the conduction of violence due to the relatively concentrated stress, because it is in a transition region from the fixed kyphotic spine to the mobile lordotic spine. TBF account for about 75-95% in spinal trauma. When burst fractures occur to the vertebral body, it is easy for the retropulsed bone fragments to break into the vertebral canal with the results of the spinal cord or cauda equina injuries. In recent years, with the deepening study of TBF based on the medical imaging and biomechanics, some new theories and techniques related to the treatment also appear. In this article, the injury mechanism, classification, operative indications, approaches and surgical methods of TBF are summarized.
出处
《中国骨与关节杂志》
CAS
2014年第1期71-74,共4页
Chinese Journal of Bone and Joint
