胸腰段骨折伴截瘫的侧前方减压治疗  

Anterolateral Decompression for Thoracolumbar Spinal Fracture With Paraplegia

作　　者：梁德勇[1] 贾长青[1] 刘庆阳[1] 吴振东[1] 张维 

机构地区：[1]中国医科大学第三临床学院骨科,辽宁沈阳110022 [2]盖州市中心医院外科

出　　处：《中国医科大学学报》2002年第z1期46-47,共2页Journal of China Medical University

摘　　要：目的:评价侧前方减压术治疗胸腰段骨折伴截瘫的效果。方法:我们对胸腰段骨折伴完全截瘫7例及不全瘫21例,采用侧前方减压术,术后卧床休息3个月。结果:经半年至3年的随访,28例病人神经功能有不同程度的恢复,7例全瘫患者在感觉和运动方面均得到部分改善,特别在髋关节和膝关节的功能恢复方面,表现明显。结论:压迫存在是侧前方减压的主要手术指征。侧前方减压治疗胸腰段骨折伴截瘫具有损伤小、减压直接充分、对脊柱稳定性破坏小,有利于脊髓功能恢复等优点。Objective: Our aim was to evaluate the outcome of anterolateral decompression for thoracolumbar spinal fracture with paraplegia. Methods: Twenty-eight patients with thoracolumbar spinal fracture with paraplegia under went anterolateral decompression, 7 of them with complete paraplegia. All patients had kept in bed for 3 months. Results: All cases were followed up from half to 3 years. All patients recovered to some degree with neurological function, particularly in hip joint and knee joint. Conclusion: Compression is the indication of anterolateral decompression for thoracolumbar spinal fracture with paraplegia. Smaller injury, complete decompression, and less destruction for stability of spinal are the advantages of anterolateral decompression for thoracolumbar spinal fracture with paraplegia.

关 键 词：侧前方减压 胸腰段骨折 截瘫 

分 类 号：R681.5[医药卫生—骨科学]