前路减压Kaneda内固定术治疗胸腰椎爆裂骨折并不完全性截瘫

Treatment of burst fractures of thoracolumbar vertebral body with incomplete paraplegia by anterior route decompression and Kaneda internal fixation

应用前路减压、植骨融合、Ｋａｎｅｄａ 内固定手术治疗胸腰椎骨折并不完全截瘫２１ 例，术后随访３ 个月～２ ．５ 年，效果满意。对其手术适应证、优缺点及注意事项进行讨论。认为该术式在神经减压、纠正脊椎侧弯后突成角畸形及重建脊柱稳定性方面有独特优点。

The operation of anterior route decompression, bone-graft-fusion and Kaneda internal fixation had been used in 21 patietns with burst fractures of thoracolumbar vertebral body complicated with incomplete paraplegia and gained satisfactory results after follow up of 3 months and 2.5 years. The indication, superiority, deficiency and attentive factors of the operation were discussed. It was believed that this procedure has its advantages in neurological decompression, correction of the malformation of the spine with posterior protrusion or lateral curvature, reconstruction of the stability of the spine.