急性脊柱创伤诊断及治疗的临床研究

目的研究急性脊柱创伤诊断及急性脊柱创伤手术治疗方法。方法 35例脊柱创伤的患者经X线平片、CT及MRI检查,受损椎体为T11、T12、L1的7例患者,采用行后路Luque棒4例,后路长节段RF棒3例;受损椎体为T11、L2的7例患者,行前路减压植骨内固定3例,后路长节段RF棒3例;腰椎受损患者行加长RF棒10例,用4组AF棒固定6例。术后1月复诊,观察骨折的恢复情况,神经功能恢复按Frankel评分。结果患者术后恢复情况良好,Frankel评分有显著改变。结论手术方法的选择应参考患者骨折类型,内固定器的特点,适合的手术方法,对患者的恢复及术后并发症的减少是很有意义的。

Objective To study the diagnosis of acute spinal trauma and surgical treatment of acute spinal trauma. Methods 35 cases of spinal trauma patients with X-ray, CT and MRI, damaged vertebrae as T11, T12, L1 in 7 patients, with posterior Luque rods in 4 cases, posterior long-segment RF rod 3 cases; damaged vertebrae as T11, L2 of the 7 patients, anterior decompression and bone graft fixation in 3 cases, posterior long-segment RF rod 3; lumbar extension in patients with impaired RF rods 10 cases, with 4 AF rod fixation in 6 cases. After 1 month return visit to observe the recovery of fractures, nerve function according to Frankel score. Results In good postoperative recovery, Frankel score has changed significantly. Conclusion Should refer to the choice of surgical Methods in patients with type of fracture, internal fixation device characteristics, the appropriate surgical approach, the patient＇s recovery and reduce postoperative complications is of great significance.