摘要
目的探讨胸腰椎跳跃型骨折的诊断和治疗。方法我院1998年6月~2010年2月采用手术椎管减压＋长节段或分节段撑开内固定＋植骨融合治疗22例胸腰椎跳跃型骨折患者,其中1例患者漏诊,1例患者保守治疗。结果 21例手术患者术后椎高恢复,恢复了脊柱的初始稳定性。无死亡病例。获得2~25个月随访,3例脊髓功能Frankel A级无改善,其余18例均提高1级以上。结论早期诊断、及时椎管减压以及内固定治疗对重建患者脊柱稳定性、改善神经功能及后期康复有重要意义。
Objective To discuss the diagnosis and treatments of jumping thoracolumbar fractures.Methods From June 1998 to February 2010,22 patients with jumping thoracolumbar fractures were treated by spinal canal decompression operation,long or short segment pedicle screws fixation and fusion.Results Twenty-two cases were followed up from 9 to 41 months.One patient had missed diagnosis.Twenty-one patients with jumping thoracolumbar fractures were treated by operation.The height of the vertebras recovered,the primary spinal stability was restored,and there was no perioperative death.The neurological functions were improved by at least Frank 1 level except the 3 cases with grade of A Frankel function.Conclusion Early diagnosis,promptly intradiscal fixation and reducing pressure can improve the stability of the rebuilt spinal nerve function and later rehabilitation.
出处
《骨科》
CAS
2011年第3期135-137,共3页
ORTHOPAEDICS
关键词
胸椎
腰椎
骨折
内固定器
治疗
Thoracic vertebrae
Lumber vertebrae
Internal fixators
Fractures
Therapy
