对胸腰椎损伤综合分类法的建议(154例病例分析)

A proposal for a comprehensive method of ciassification of thoracolumbar spinal injuries

通过对１５４例胸腰椎损伤病例的回顾性分析，提出了综合分类法的建议．这种分类法应包括骨折类型、脱位率、椎管受压程度及截瘫分级四方面的内容。其中骨折，按其主要受伤暴力分为三型。即爆裂骨折、弯曲骨折和平移骨折．结果平移骨折截瘫发生率明显高于弯曲骨折。本文对其分别进行了描述和讨论。

After a retrospective analysis of 154 cases of thoracolumbar vertebral fractures, we proposed a comprehensive method of classification. The classification include the type of fracture, degree of dislocation and vertebral canal compromise and seventy of paraplegia. According to the mechanism of trauma, we classify the fracture into burst fracture, flexion fracture and horizontally displaced. fracture. The rate of paraplegia in horizontally displaced fracture was significantly, higher than that of the flexion fracture The characteristics of different fractures were described and; discussed.