亚急性期胸腰椎不稳定骨折的治疗

Treatment of Subacute Thoracolumbar Instability Fractures

目的 :探讨胸腰椎不稳定骨折亚急性期的治疗效果。方法 :分析 2 8例胸腰椎不稳定性骨折亚急性期采用后路椎弓根系统短节段复位固定 ,椎板减压植骨术后临床效果。结果 :术后进行 6～ 5 3个月 (平均 15个月 )随访 ,神经恢复按Frankel分级评定 ,2 4例有不同程度恢复。胸腰椎生理曲度均获得恢复 ,椎体压缩高度得到不同程度恢复。仅 1例发生植骨不融合。结论 :亚急性期胸腰椎不稳定性骨折采用积极后路椎弓根系统短节段复位固定、减压、植骨融合术治疗 ,对脊柱畸形矫正 ,脊柱稳定性 。

Objective:To investigate the out-come of thoracolumbar instability fractures in subacute period.Methods:To analyse the clinical result that twenty-eight cases with subacute thoracolumbar instability fractures operatively treated with reduction and fixation by short spinal internal fixers,with spinal canal decompression and fusion.Results:All patients postoperation were followed up from 6 to 53 months (The average was 15 months).24 patient′s nervous function according to Frankel′s grading had improved differently.Bionomic bend of thoracolumbar gained good recovery.The height of vertebral body got different degree of recovery.Only one case had poor ossifying fussion.Conclusion:It is available to correct vertebral deformity,to improve vertebral stable and nervous function that subacute thoracolumbar instability fracutres were actively treated by reduction and fixation with posterior short internal fixers,spinal canal decompression and fusion.