摘要
目的 探讨和评价经改良的侧前方入路侧前方减压AF复位内固定并后路植骨在治疗新鲜胸腰段椎体骨折中的作用。方法 14例胸腰段椎体新鲜骨折病人经改良的侧前方入路行侧前方减压并AF复位内固定 ,减压对侧椎板植骨融合治疗 ,比较神经功能恢复及骨折矫正情况。结果 14例病人术后神经功能恢复较好 ,骨折复位良好 ,Cobb’s角及椎体前缘高度明显恢复。结论 经改良的侧前方入路行侧前方减压 ,减压彻底 ,对脊柱术后的稳定性破坏小 ,AF内固定对骨折复位固定较好 ,同时行对侧椎板植骨可重建术后脊柱的稳定性 ,但手术的操作较复杂。
Objective To discuss and evaluate the efficacies of anterolateral decompression , interal fixtion with AF and bone graft in another lamina of vertebra through a advanced anterolateral approach for thoracolumbar fresh fractures. Methods 14 cases were treated with the surgical techniques from 2002 . Results 14 cases were followed up 3-9 months. Theresults were satisfactory . The functional restoration of spinal cord was better , the reposition of bone fractures were satisfactory , and the Cobb's angle and anterior height of vertebral body(AVH) were also obviously regained. Conclusion Anterolateral decompression through the advanced anterolateral approach can decompress thoroughly, and have less effect to vertebral bodies’ postop stability. Interal fixtion with AF can acquire better reposition . Bone graft in lamina of vertebra can reconstruct postop stability of spine . But the operation is more complicated.
出处
《临床军医杂志》
CAS
2003年第3期26-29,共4页
Clinical Journal of Medical Officers
