侧前方减压术治疗胸腰段脊柱骨折

Anterolateral Decompression for Thoracolumbar Spinal Fracture

目的 :评价侧前方减压术治疗胸腰段脊柱骨折的效果。方法 :对 2 8例胸腰段骨折患者采用侧前方减压术治疗 ,术后卧床休息 3个月。结果 :经 6～ 61个月的随访 ,所有病人神经功能有不同程度的恢复 ,4例全瘫患者在感觉、运动和大、小便均得到不同程度的改善。结论 :因前方压迫产生神经损伤 ,尤其对于仅由中柱的骨折移位而致脊髓损伤者 ,侧前方减压术是首选方法。该术式安全可靠。对脊髓直接减压充分彻底 ,仅影响脊柱中柱结构 ,保持了后柱的完整性。

Objective:To access the outcome of anterolateral decompression for thoracolumbar spinal fracture.Methods:Twenty eight cases of thoracolumbar spinal fracture were operated by anterolateral decompression.All the patients had kept in bed for 3 months after operation.Results:All cases were followed up for 6～61 months.All patients showed partial or complete recovery on neurological function.Conclusion:Anterolateral decompression is the first selected method when neurological deficit is generated from anterior compression,especially when merely the middle column is involved.This method is safe and reliable,decompressing completely and directly,only involving the middle column of spine,keeping the integrity of the posterior column.