摘要
脊髓损伤晚期病例病理解剖特点，主要是由于椎管前方的骨性致压物妨碍其神经功能的进一步恢复。因此，对于颈椎骨折脱位合并脊髓伤者，以颈前路扩大性减压术最佳；而胸腰椎骨折脱位合并不全瘫者，则以次全环状减压术更为理想，因其减压范围充分、损伤小及对脊柱的稳定性影响较少，其不仅可以同时对椎管的侧方和前方减压，如果需要的话，尚可行蛛网膜下腔松解术。彻底减压有助于脊髓及其血管功能的恢复。
Late cases of spinal cord injury are not rare in the world. Analysis of the pathoanatomical characteristics of these cases indicated that the bony compressing strcture over the anterior aspect of the vertebral canalwas the main obstacle to continual recovery. Under this condition, the authors suggested: The anterior extensive decompression was good for cevical fracture-dislocation with paraplegia. Subtotal circumferential decompression was beneficial to the late cases of thoracolumbar fracture-dislocation complicated by incomplete paraplegia. Wide field decompression was good in injury with mild disturbance to the stability of the vertebral column. Subtotal circumferential decompression was not only fitting for patients who have had posteior approach decompression, but also for those requiring decompression from the lateral and anterior aspects in one stage. If necessary, the subarachnoidal space could also be explored. Thorough decompression was conductive to functional recovery of the spinal cord and its vessels.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
1992年第1期14-19,共6页
Chinese Journal of Spine and Spinal Cord
关键词
脊髓损伤
骨折
脱位
减压术
Spinal cord injury
Fracture-dislocation
Decompression
