侧后方减压融合治疗胸腰椎骨折

The Treatment of Thoracolumbar Vertebral Fracture with Posterolateral Decompression and Fusion

目的：讨论侧后方减压融合术治疗胸腰椎骨折的优缺点及临床应用。方法：对12例胸腰椎骨折采用侧后方减压植骨融合术，经一个手术入路完成减压及脊椎的稳定重建。结果：12例病例随访13～36个月，术后无一例神经症状加重；6例术后原有神经症状明显改善，2例2个月后神经症状开始恢复，3例无改善；12例均获得骨性融合。结论：侧后方减压融合术是治疗胸腰椎骨折的较好方法。但其技术要求高，视野显露有限，操作范围较窄，易出血增加了手术难度。

Objective：To study the merits and demerits in the treatment of thoracolumbar vertebral fracture with posterolateral decompression and fusion. Methods： Retrospective study of 12 patients with thoracolumbar vertebral fracture who were treated with posterolateral decompression and fusion using one incision to achieve the decompression and re-establish the spinal stability. Results：All cases were followed up for 13-36 months. No aggravation of nerve injury appeared in 12 cases. The postoperative neurolonical function was recovered markedly in 6 cases and the nerve symptoms began to recover in 2 cases two months later. There were only 3 cases that had not improved. The spinal fusion was excellent in all follow-up cases. Conclusions：It is an ideal way in the treatment of thoracolumbar vertebral fracture with posterolateral decompression and fusion. But the Surgical techniques is highly, range of vision is limited and the area of operation is confined with blood loss easily. All above made it difficult to operation.