前路减压内固定治疗胸腰椎爆裂骨折并截瘫

Anterior internal fixation of thoracolumbar burst fracture and paraplegia

目的:探讨前路减压内固定治疗胸腰椎爆裂骨折并截瘫的临床疗效。方法:回顾2001年6月～2008年12月经前路减压内固定手术治疗的25例胸腰椎爆裂骨折并截瘫的患者,并分析前路手术的优缺点、适应证。结果:所有患者脊髓均获得有效减压,25例均获随访,随访时间12～24个月。5例A级患者无明显神经功能恢复,仅截瘫平面略有下降;其余均有1～2级的恢复。恢复1级10例,恢复2级15例。伤椎部位脊椎曲度恢复正常,无明显侧凸或后凸畸形发生。结论:前路减压内固定术具有减压彻底、脊髓功能改善率高等优点,是治疗胸腰椎爆裂骨折并截瘫的有效方法。

Objective： To investigate the anterior decompression and internal fixation of thoracolumbar burst fracture and paraplegia clinical efficacy. Methods： From June 2001 to December 2008, anterior decompression and internal fixation surgical treatment of 25 patients with thoracolumbar burst fracture and paraplegia cases, anterior and analyzed the advantages and disadvantages, indications. Results： All patients had access to effective decompression of the spinal cord, 25 patients were followed up for 12 to 24 months. A grade 5 patients had no significant recovery of neurological function in patients with only a slight decrease paraplegia plane; the rest were 1 or 2 level recovery. 10 patients resumed a restore two of 15 cases. Curvature of the spine vertebra back to normal position, no significant scoliosis or kyphosis occurs. Conclusion： Anterior decompression and internal fixation with the advantages of high rate of spinal cord function improved, the treatment of thoracolumbar burst fracture and paraplegia effective way.