前路减压治疗陈旧性胸腰椎骨折伴截瘫12例  

ANTERIOT DECOMPRESSION THERAPY FOR OLD THORACOLUMBAR FRACTURES COMPLICATED WITH PARAPLEGIA

作　　者：冯新民[1] 戴松茂[1] 王静成[1] 虞堂云[1] 董仁章[1] 

机构地区：[1]扬州大学医学院附属医院,扬州225001

出　　处：《江苏临床医学杂志》1999年第1期15-17,共3页Journal of Jiangsu Clinical Medicine

摘　　要：目的：探讨前路减压治疗陈旧性胸腰椎骨折伴截瘫的临床效果。方法：12例患者中7例单纯行前路减压+植骨，5例会并骨折脱位或严重后凸畸形行前路成压+Kaneda钉矫形内固定+植骨。结果：经6月～3年5个月随访，10例按Frankel分级有1～3级改善，平均改善1．6级，总有效率达83．3％。结论：对于脊髓前方有明显压迫物存在的陈旧性胸腰椎骨折伴截瘫患者，前路减压视野清晰，减压充分，神经损伤小，截瘫恢复率高。Objective: To study the clinical results of anterior decompression therapy for old thora-columbar fractures complicated with paraplegia (OTFCP). Method: Of 12 such patients, 7 underwentanterior decompression and bone graft, and 5 cases with fracture - dislocation or severe hyphosis receivedanterior decompression together with Kaneda screw orthesis, internal fixation and bone graft. Result:The follow - up varied from six months to 3 and a half year. According to Frankel calssification, 10 pa-tients improved from 1 to 3 grades, the total effective rate being 83. 3%. Conclusion: Anterior decom-pression for OTFP patients with obvious compressive object in front of the spinal cord leads to clear field ofoperation, sufficient decompression, less nerve injury and high - rate recovery for patients with paraple-gia.

关 键 词：脊髓损伤 前路减压 腰椎椎骨折 截瘫 

分 类 号：R683.205[医药卫生—骨科学] R651.205[医药卫生—外科学]