后入路脊髓前侧推挤减压治疗胸腰椎损伤

Treatment of Thoracolumbar Injury with Anterior Propelling Decompression of Spinal Cord via Posterior Approach

报告５０例后入路全椎板切除，不破坏小关节突和椎弓根，采用作者设计的特殊弧度的骨凿、骨膜剥离器、骨锉和推进器作脊髓前侧推挤减压，Ｄｉｃｋ器械短节段椎弓根内固定和后路植骨融合术。术后和随访神经功能恢复标准，按Ｆｒａｎｋｅｌ氏分级法，６例达到Ｂ级，１６例进入Ｃ级，５例进入Ｄ级，１９例达到Ｅ极。

Laminectomy of the posterior approach with no injury of the articular process and pedicle was reported in 50 cases. The special curve osteotome, periosteum elevator, bone file and propellor designed by authors were used to perform the anterior propelling decompression of the spinal cord, the internal fixation of short segmental pedicle with Dick's instrument and bone grafting of spinal fusion via posterior approach. The standard of the nervous function after operation and followed up,according to Frank's classification, were as follows:six cases belong to grade B, 16 cases grade C, 5 cases grade D and 19 cases grade E.