多节段非相邻型脊柱骨折的诊治分析  

Diagnosis and Treatment of Multiple-level Noncontinuous Spinal Fractures

作　　者：黄晖[1] 莫忠贵[1] 庄小强[1] 白宇[1] 陆生林[1] 

机构地区：[1]广西壮族自治区民族医院骨科,广西南宁530001

出　　处：《实用骨科杂志》2009年第8期561-563,共3页Journal of Practical Orthopaedics

摘　　要：目的探讨多节段非相邻型脊柱骨折（multiple—level noncontinuous spinal，MNSF）的临床特点及诊断治疗方法。方法回顾分析2000年1月至2008年2月24例MNSF的临床资料，其中手术治疗20例，非手术治疗4例。结果术后随访8～30个月。除4例神经功能无改善外，其余均有不同程度的神经功能恢复。无继发性后凸畸形加重及迟发性神经功能障碍。结论早期诊断MNSF，对不稳定性骨折应积极手术治疗，根据患者情况、骨折类型选择恰当的固定融合节段，可获得满意的治疗效果。Objective To study the clinical features ,diagnosis and treatment methods of multiple-level noncontinuous spinal fractures. Methods The clinical data of 24 patients with MNSF were retrospectively analyzed,which were admitted from January 2000 to February 2008.20 cases were treated by surgical stabilization while 4 were treated conservatively. Results All cases were followed up for 8-30 months. 20 patients with neurological deficit before operation got improvement of various degree, 4 remained unchanged. Conclusion Early diagnosis and surgery treatment play an important role in the treatment of instable fracture of MNSF. The internal fixation area should be determined appropriately according to the types of the MNSF and general condition of patients.

关 键 词：脊柱 多节段 骨折 治疗 

分 类 号：R683.2[医药卫生—骨科学]