摘要
报告手术治疗胸腰椎严重爆裂骨折36例,碎骨块占椎管容积30%以上。完全性截瘫19例,不完全截瘫17例。全组均经椎管减压、后路器械固定(Luque方法29例,Galveston方法4例,Steffee方法2例,Dick方法1例)。结果:36例中34例椎管减压充分,2例经CT复查证实碎骨块残留。36例内固定术后近期脊柱均重获稳定,远期失稳3例。术后神经功能恢复好转率69.4%。认为,CT扫描能清楚显示碎骨块突入椎管、神经受压情况,对爆裂骨折的诊断和治疗有重要意义。严重爆裂骨折椎管矢状径小于10mm、伴有神经损伤应及早椎管减压内固定。
Thirty-six cases of severe
thoraco-lumbar bursting fracture treated with operation are reported. The volume of fracture
piecesin each case was more than 30 percent of the total volume of spinal cana Ninteen cases
sustained complete paraplegia and 17 casesincomplete paraplegia. The posterior depression
and internal fixation were performed on the above cases. Twenty-nine cases werestablized with
lugue-instrumentation. Four cases were fixed with Galveston-instrumentation, and the others
with Steffee-plate andDick nail. The result showed that 34 cases had sufficient depression and
fracture pieces remained in 2 cases through CT rescanning.The spine was stabilized again after
operation in 36 cases only 3 caseswere unstable in spine. The rate of nervous recovery was69.
4 percent. CT scanning can reveal the fracture pieces in spinal canal and compressed spinal
cord. and is significant for the diagno-sis and treatment.Spinal canal depression and internal
fixation should be performed on the cases with the sagittae (diameter lessthan 10 milimeter)and
nerve injury as early as possible.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1994年第6期259-260,共2页
Chinese Journal of Trauma
关键词
胸椎
腰椎
骨折
爆裂骨折
诊断
治疗
病例分析
Fracture fixatio,Internal Thoracic vertebrae Lumbar
vertebrae Spinal canal