摘要
目的 探讨胸腰椎爆裂性骨折的诊断、术式选择、术中需注意的问题及疗效。方法 随访及分析近 9年来共 31例胸腰椎爆裂性骨折手术患者的临床资料及治疗效果。其中前入路 19例 (kane da 11例 ,Z -plate 8例 ) ,后入路 12例 (Dick 2例 ,RF 3例 ,socon 2例 ,AF 5例 )。结果 随访 8～ 2 8个月 ,平均 16 .3月 ,2 7例术后Frankel分级恢复Ⅰ～Ⅲ级 ,4例术后无明显恢复。结论 应根据不同部位的椎体骨折、椎管骨折的部位及神经受压损害的程度选择早期手术和前后路术式 ,前路Z -
Objective To study the diagnosis and the results of different operative treatments for explosive fracture.of thoracolumbar vetebrae.Methods 31 patients,who suffered explosive fracture of thoracolumbar vetebrae and underwent operation from 1993 to 2002,were analyzed.Among them,19 cases treated by anterior approaches (kaneda:11 cases,Z-plate:8 cases),while 12 cases by posterior approaches (Dick:2 cases,RF:3 cases,AF:5 cases,sicon:2 case).Results 31 cases were followed upfor 8～28 months,averaging 16.3 months per one.According to Frankel Grade,27 cases were observed improvement by 1 to 3 grades,4 cases had no significant improvement.Conclusions The decision of operation time and ways for explosive fracture of thoracolumbar vetebrae should be made on the basis of the type of fracture and the site and degree of nerve injury.
出处
《齐齐哈尔医学院学报》
2003年第3期246-247,共2页
Journal of Qiqihar Medical University
