胸腰椎骨折截瘫侧前方减压术影响疗效因素分析

Assesment in influencing factors of anteriro-lateral decompression of thoracolumbar vertebral fracture with paraplegia

１９９０～１９９２年对２８例陈旧胸腰椎骨折截瘫患者行后正中入路经椎弓根侧前方减压术。随访０．５～１年，感觉、运动无恢复１０例，部分恢复７例，大部分恢复１１例，有效率６４．３％。作者认为，影响疗效因素有二：（１）原发脊髓损伤程度是影响减压效果的决定因素。（２）减压是否充分、彻底是影响治疗效果的重要因素。

Twenty-eight cases of late thoracolumbar vertebral fracture with paraplegia had been treated by anterolateral decompression via pedicls of vertebral arch from dorsal approach since 1990 to 1992.Follow-up time was half to one year. 10 cases no recovery of sensation and locomotion,7 cases partial recovery, 11 cases better recovery. The extent of primary spinal injuries is decisive factor to the result ,and the extent of decompression is important.Author’s address( Orthopedic Department of Beijing Army General Hospital,Beijing, 100700)