摘要
目的:评估椎板翻转减压回植术治疗胸腰段骨折伴脊髓损伤的疗效。方法:通过X线、CT、MRI影像学检查,Frankel脊髓神经功能评价,比较椎体恢复高度和椎管减压的程度,神经功能Frankel's分级的改善情况。结果:椎体恢复高度>85%,椎管受阻较术前改善为78.3%,脊髓神经功能有Frankel Ⅰ级以上改善为91.3%。结论:椎板翻转减压、复位,可使脊髓神经功能得到有效恢复,回植椎板符合脊柱解剖学生理特点。
Objective:To evaluate the results of 23 case s of thoracolumbar vertebral fracture with spinal cord injury by turn over decom pression and regrafting of vertical lamina.Methods:The postoperative and preoperative X-ray and CT and MRI wer e used and the all neural function were assessed in accordance with F rankel grade to compare the restoration of the height of vertebra and the effica cy of decompression of the spinal cord.Results:The high degree of vertera were recovered larger than 85%.Th e CT evaluation showed that the obstruct of spinal canal has improved in 78.3%.N eurologic function improvement of more than one Frankel grade was 91.3%.Conclusions:The neurologic function has improved and the stability of posterior spinal column has recovered with turn over decompres sion and regrafting of vertical lamina.
出处
《蚌埠医学院学报》
CAS
2001年第1期36-38,共3页
Journal of Bengbu Medical College