摘要
目的探讨前路治疗胸腰段骨折的疗效。方法46例胸腰段爆裂骨折患者行前路减压,植骨并kanada,TSRH,Z-p late内固定系统治疗。结果所有患者随访6-20月,平均植骨愈合时间4.5月。神经功能根据ASIA[1]分级:A级12例,B级7例,C级14例,D级7例,E级8例;术后有4例A级无神经功能改善,其余皆有不同程度提高。结论胸腰段骨折采用前路手术治疗,安全可靠,能对脊髓充分减压,矫正畸形,重建脊柱的稳定性,最大限度恢复脊髓功能。
Objective To evaluate the therapeutic effect of the anterior treatment of burst tSaeture of thoraeolumbarspine. Methods 46 eases with burst fracture of thoraeolumbar spine were operated on by anterior decompression, bone-plantlng and Kanada,TSRH ,Z-plate internal fixations . Results All patients were followed up for 6-20 months , the average fusion time was 4.5 months . According to ASIA grading system of neural function ： grade A in 12 eases ,grade B in 7 cases ,grade C in 14 eases ,grade D in 7 eases and grade E in 8 eases respectively pre-operatively . 4 eases had no improvement ,the others had not improved in different degrees post-operatively. Conclusion Anterior therapy is safe and reliable. It can reduce the pressure sufficiently , rectify the deformity , reconstruct the stabilization of spine , and recover the function of spinal cord to a greater degree.
出处
《川北医学院学报》
CAS
2007年第3期241-243,共3页
Journal of North Sichuan Medical College
关键词
胸腰椎
骨折
前路手术
内固定
Thoraeolumbar vertebrae
Fracture
Anterior operation
Internal fixation
