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作者：蒋雪生,詹碧水,姬亚峰,周新华
【摘要】 ：［目的］探讨体位复位结合后路器械内固定对胸腰椎爆裂骨折的临床疗效。［方法］37例胸腰椎爆裂骨折患者，术中采用体位复位结合后路器械内固定矫正整复的方法，观察术前术后椎体高度、骨折椎后凸角、椎管面积、神经功能ASIA损伤分级变化等指标。［结果］所有患者获得6～52个月随访，神经功能ASIA损伤分级：A级1例无恢复，B级3例恢复到C级1例，到D级2例，C级8例恢复到D级2例，到E级6例，D级13例均恢复到E级。［结论］体位复位结合后路器械撑开复位内固定间接减压治疗胸腰椎爆裂骨折能够达到很好的骨折块复位、较好的临床效果。
【关键词】 爆裂骨折；体位复位；器械固定；间接减压
Abstract:［Objective］To evaluate clinical effect of indirect decompression with postural reduction and posterior instrumental reduction on the treatment of thoracolumbar vertebral burst fracture and to supply basis for further treatment choice.［Methods］ 37 cases with thoracolumbar vertebral burst fracture were treated by postural reduction with posterior instrumental reduction, several parameters (pre-operation and post-operation)were detected for value:height of fractured vertebra, kyphotic angle, spinal canal areas, ASIA^s grade of nerve function.［Result］ The patients were followed up for 6～52months.according to the ASIN grading system, patients with nerve injury were recorded,among the cases, 1 case of grade A had no sign of recovery,1 of 3 cases of grade B to grade C, the others to grade D,2 of 8 cases of grade C to grade D, the other 6 to grade E,13 cases of grade D were all restored to grade E.［Conclusion］ Postural reduction and posterior instrumental reduction that were effective indirect decompression for the treatment of thoracolumbar vertebral burst fracture had better restoration of bone fragement,better recovery of nerve function after operation than before,they were a good choice to treat thoracolumbar vertebral burst fracture.
Key words:burst fracture; postural reduction; instrumental reduction; indirect decompression
近年来胸腰椎骨折的发生率逐年上升，而且爆裂骨折常常合并有骨折块突入椎管内损伤脊髓、马尾、圆锥，严重影响患者的健康。虽然对胸腰椎爆裂骨折的治疗前路手术有一定的优势，但 [1] [2] [3] 下一页 |
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