胸腰椎爆裂骨折的手术治疗

Operation on Thoracolumbar Burst Fracture(TLBF)

[目的]探讨手术治疗对胸腰椎爆裂骨折(TLBF)的影响。[方法]对28例确诊为TLBF患者采用椎弓根螺钉复位固定技术后作分析。主要对术前术后的平均脊椎后突角、中柱后突程度、椎体前缘高度、椎管狭窄程度、脊髓神经功能等方面进行研究,其中脊髓神经功能按ASIA损伤分级。[结果]平均脊椎后突角,中柱后突程度,椎管狭窄程度,神经功能均恢复满意。[结论]对于胸腰椎折,凡伴有神经损害或可能出现继发性神经损害,尤其是伴有严重后柱损伤的TLBF都是不稳定的,均应手术。

[Objective]To explore the effect of operation on TLBF. [Methods] Apply spiral nail fix reposition of pedicle of vertebral arch to TLBF patients, then make analysis mainly on average spinal back synapse, the middle spine back synapse degree, vertebral frontal edge width, vertebral canal narrowness and spinal nerve function, make ASIA injury classes to spinal nerve function. [Results] It recovers well on average spinal back synapse, the middle spine back synapse degree, vertebral frontal edge width, vertebral canal narrowness and spinal nerve function. [Conclusion] For thoracolumbar fracture, with nerve injury or possible secondary nerve injury, esp. severe back-spinal injury, the TLBF is not stable, should be operated.