胸腰段骨折外科治疗的研究进展

Developments of Surgical Treatment of Thoracolumbar Spine Fracture

胸腰椎骨折是骨科临床工作中常见的损伤。胸腰段骨折往往伴发不同程度的脊髓损伤,很大程度上影响患者的生活质量。准确把握其分型,并制定恰当、及时、有效的治疗方案,对伤员进行救治,恢复椎体的高度、序列与曲度,解除神经压迫,重建脊柱稳定性,减少近远期并发症,改善预后有着深远的意义。本文通过对胸腰段骨折的分类、手术入路、手术方式、不同类型骨折的治疗等四个方面的国内外近期研究成果作一综述。

Thoracolumbar spine fracture is common in orthopedic clinical work.Thoracolumbar spine fracture is often associated with varying degrees of spinal cord injury.It significantly affects the life quality of patients.How to grasp accurately its classification and to select appropriate,timely and effective treatment options for treatment to the wounded is profound significance to restore vertebral body height,sequence and curvature,to relieve nerve compression,to reconstruct the spinal stability,to reduce the short and long term complications and to improve the prognosis.This article explains thoracolumbar spine fracture by four aspects：fracture classification,management by anterior or posterior operative approaches,the modus of operation,the selection of conservative or operative treatments in different types.The author presents a general reviews on the domestic and foreign developments on surgical treatment of thoracolum-bar spine fracture.