摘要
目的:探讨胸腰椎爆裂骨折伴脊髓损伤的最佳治疗。方法:分析56例外伤性胸腰段爆裂骨折伴脊髓损伤的临床资料。结果:术后疗效观察显示,50例脊髓神经功能有不同程度改善,术后椎体高度恢复,Z-Plate 93.3％,RF 92.6％、Dick 76.2％、Steffee73.5％。结论:胸腰段椎体骨折复位Z—Plate、RF均较Dick、Steffee内固定效果好,RF操作方便、创伤小、风险少、费用低,适合绝大多数病人使用。脊髓损伤治疗强调在争取手术时间、整复脊柱骨折和椎管减压的同时,积极综合治疗。
Objective: To discuss the best treatment for thoracolumbar burst fractures with spinal cord injuries. Methods: Analysis of 56 cases clinical data for the traumatic thoracolumbar burst fractures with spinal cord injuries. Results: The postoperative effect indicated that among 50 cases, neurologic function of the spinal cord was improved, and the height of fracture vertebra recovered by 93.3% ,92.6% ,76.2% ,73.5% after Z-plate ,RF,Dick,Steffee fixation respectively. Conclusion: The height recovery of thoracolumbar fracture vertebra is better achieved by means of Z - plate and RF fixation than Dick and Stef-fee. RF if suitable for most patients with the advantages of convenient operation, minor traumas, safety and low expense. The treatment of the spinal cord injures emphasises the active general treatment as well as the spinal fractures recovery and in-traspinal canal decompression as early as possible.
出处
《中国临床医学》
2002年第6期723-723,725,共2页
Chinese Journal of Clinical Medicine
关键词
胸腰椎暴裂骨折
脊髓损伤
治疗
并发症
Thoracolumbar burst fracture Spinal cord injures Treatment
