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经椎弓根椎体后份切除术治疗胸腰椎骨折截瘫 被引量:6

ABSTRACTTRANS-PEDICULAR PARTIAL VERTEBRECTOMY FOR THE TREATMENT OF THORA-COLUMBAR FRACTURES WITH PARAPLEGIA
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摘要 介绍一种治疗胸腰椎骨折伴截瘫的侧前方减压手术方法,并报道6例临床治疗结果。通过1个月~5个月术后随访,6例患者神经功能按Frankl分级标准均有Ⅱ~Ⅲ级改善。认为该手术方法具有创伤小,术中无需X线即能准确定位和判断减压范围,一般仅需切除伤椎的后1/5~1/4,不破坏脊柱稳定性,减压效果确实等优点。 new method of anterior decompression for thoracolumbar fractures with paralysis in sixcases was reported. In a follw-up of one to five months , was shown that the neurologieal func-tions in all six cases has improved Ⅱ-Ⅲ rank in Frankle classification. The author believe thatthe method has the following advantages , such as : less trauma from operation;the level and thelimit of decompression could be made without X-ray during the operation;usually only 1/5 to1/4 of the vertebral body was excised so that the stability of the spine was not disturbed , and theobvious favourable results.
出处 《中国修复重建外科杂志》 CAS CSCD 1995年第1期16-18,共3页 Chinese Journal of Reparative and Reconstructive Surgery
关键词 胸椎 腰椎 骨折 截瘫 外科手术 椎体后份切除 : Spine Thoracolumbar fracture Paralysis.
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参考文献1

  • 1贾连顺.陈旧性胸腰脊柱脊髓伤的半侧椎板切除及侧前方减压治疗[J]第二军医大学学报,1986(05).

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