摘要
目的 :探讨胸腰段脊柱骨折的前路手术方法和临床治疗效果。方法 :1993年 3月～ 2 0 0 2年 12月 ,对 15 8例胸腰段脊柱骨折患者行前路手术内固定治疗。结果 :术后随访 1～ 10年 ,平均 6.5年 ,15 8例病人中 12 6例神经功能有不同程度恢复 ,术前、后差异有非常显著性意义 (P <0 .0 0 1) ,后凸畸形矫正满意 ,脊柱高度恢复 ,无松动、断钉等并发症。结论 :胸腰段脊柱骨折采用前路手术治疗安全可靠 ,对脊髓减压充分彻底 ,可矫正畸形 ,重建脊柱的稳定性 ,恢复脊柱生理曲线。
Objective:To evaluate the surgical technique and its outcomes by anterior approach for thoracolumbar spinal fracture.Methods:From Mar.1993 to Dec.2002,158 cases of thoracolumbar spinal fracture were treated with anterior operation.Result:The duration of follow-up ranged from 1 to 10 years with an average of 6.5 years,126 patients showed partial or complete recovery of neurological function.The statistical difference was significant between preoperation and postoperation( P <0.001).Satisfactory correction of kyphosis was noticed.No complication occurred.Conclusion:Thoracolumbar spinal fracture can be treated satisfactorily with anterior instrumentation.the decompression of cord is complete and its spinal stability is rebuilted,the improvement of sagittal plane is well obtained.
出处
《中国矫形外科杂志》
CAS
CSCD
2004年第10期751-752,共2页
Orthopedic Journal of China
关键词
胸腰椎
骨折
前路手术
内固定
Thoracolumbar
Fracture
Anterior approach
Internal fixation
