胸腰椎爆裂骨折伴后柱损伤的临床研究进展

Clinical Research Progress of Thoracolumbar Burst Fracture with Posterior Column Injury

胸腰椎因胸椎后凸与腰椎前凸的特殊生物力学特征,易受传导暴力影响,导致爆裂性骨折,常合并后柱损伤,严重者可危及到生命安全。有效的治疗方案可提高患者预后生活质量,但不同类型与程度的脊椎损伤常需考虑不同的治疗措施,且同一部位的类似损伤采取相同治疗的疗效仍存在差异。因此,本文对此种疾病的诊断及治疗方法予以综述,以期为临床医生在给患者选择合适的治疗方式与方法时提供参考。

Thoracolumbar spine has special biomechanical characteristics due to thoracic kyphosis and lumbar lordosis, which is easily affected by conduction violence, resulting in burst fractures; also, it often combines with posterior column injury. Severe cases can endanger the safety of patients. Effective treatment can improve the quality of patients＇ life, but different types and degrees of spinal injury often require different treatment measures, even the therapeutic effects of the same injury in the same site by same treatment are still different. Therefore, this article reviewed the diagnosis and treatment of the disease, so as to provide a reference for clinicians in the selection of appropriate treatment methods for patients.