摘要
目的介绍后入路固定侧前减压治疗胸腰椎爆裂骨折的方法。方法对53例胸腰椎爆裂骨折的患者采取后入路AF固定后,探查并侧前减压。结果37例AF固定、撑开恢复脊柱序列后脊髓仍受压,患者伤椎椎体前高与正常椎体前高比值为术前0.49、术后0.95、随诊0.81,伤椎椎体后高与正常椎体后高比值为术前0.89、术后0.98、随诊0.95,Cobbs角术前26.2°、术后3.4°、随诊8.7°。结论单纯后路固定、撑开借助后纵韧带张力使骨块间接复位,起到椎管减压作用是不彻底的,常需手术探查直接减压,并采用骨块按压复位术,可减少并发症。
Objective To introduce the treatment of thoracolumbar burst fracture (TLBF) by lateral and posterior incision. Methods 53 cases of thoracolu mbar burst fracture were explored and then decompressed from lateral and anterio r approaches after posterior and AF internal fixation. Results In 37 cases of TL BF treated by AF internal fixation and propping to recover the normal order of t he spine, their spine cords were still pressed. The ratio between the anterior h eight of the injured spine and that of the normal spine, was 0.89 preoperatively , 0.98 postoperatively, and 0.95 at the follow-up. The preoperative Cobb's angl e was 26.2, the postoperative one was 3.4, and the follow-up one was 8.7. Concl usions Fixation from posterior incision and propping can make bony blocks reduce d indirectly with the aid of the tensile force of the posterior ligament. Only t his is not enough to make vertebral canal decompressed, and direct decompression through surgical exploration is needed. Reduction through pressing the bony blo cks can decrease complications.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第2期227-229,共3页
Chinese Journal of Orthopaedic Trauma
关键词
胸腰椎爆裂骨折
内固定
手术入路
减压术
影像学检查
Thoracolumbar burst fracture
Burst fracture
Posterior i ncision
Internal fixation
Decompression
