摘要
目的 探讨胸腰段爆裂骨折伴脊髓损伤的治疗方法及疗效。方法 对 2 2例胸腰段爆裂骨折伴脊髓损伤患者行早期 (伤后 2 .6～ 4 2 .0h)后路环状减压A F内固定手术。结果 术后随访 6～ 2 6(平均 13.8)月 ,环状减压效果好 ,A F内固定物无松动及断钉现象 ;神经功能评定有效率为 81.8% (18/ 2 2 )。结论 环状减压对早期脊髓损伤的减压效果较好 ,A F内固定系统操作简单 ,固定牢靠 。
Objective To study the therapy and its effect in treatment of severe burst fracture and spinal cord injury in thoracolumber.Methods Twenty two cases were treated by early stage (2.6～42 h after injury) annular decompression and A F immobilization.Results With postoperation follow up survey(6～26 months),the effect was satisfactory with no loose A F immobilization and nail scission.The effective rate of nervous function was 81.8 %(18/22).Conclusion Annular decompression has remarkable effects on early s...
关键词
早期
胸腰段
爆裂骨折
环状减压
A-F内固定
early stage
thoracolumbar
burst fracture
annular decompression
A F immobilization
