摘要
本文分析１９８４～１９８９年为胸、腰椎骨折截瘫施行的前路减压术７６例。随访２～７年的结果表明：全组恢复到Ｄ、Ｅ级神经功能者４１例（５４％）。不全截瘫４７例中４６例神经功能改善、恢复到Ｄ、Ｅ级３９例（８３％）。胸段损伤及骨折脱位型的神经功能恢复率较差。曾行后路减压术仍残留不全截瘫者，晚期行前路减压术亦均有不同程度好转。作者认为：前路减压确实能有效地除去硬脊膜前方压迫，促使绝大多数不全截瘫患者的神经功能好转；适应于胸腰段和腰椎骨折伴截瘫，及胸椎骨折伴不全截瘫。
AbstractBetween 1984 and 1989 , 72 patients with neu- rologic deficits secondary to fractures of the thoracicand the lumbar spinal segments were treated withdnterior spinal decompression. The follow-up peri-od extends for 2 to 7 years. 41 patients(54%)re-covered to Frankel grade D and E. Of the 47 pa- tients with incomplete paraplegia, 46 had improve-ment. The degree of neurologic recovery appearedmore favorable in patients with thoracolumbar orlumbarinjuries than those with thoracic lesions. Thecases with burst or compression fractures had amore favorable outcome than those with the fracture-dislocations. Nine patients who had a posteriorspinal procedure done previously and remained anincomplete neurologic deficit , also regained a satis- factory result following anterior decompression.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1994年第1期16-18,共3页
Chinese Journal of Orthopaedics
