胸腰椎骨折手术入路选择及疗效分析  

Selection and curative effect of surgical approach for thoracolumbar fractures

作　　者：胡建华[1] 张晓星[1] 苟景跃[1] 

机构地区：[1]重庆市急救医疗中心骨科,400014

出　　处：《中华创伤杂志》2011年第5期428-430,共3页Chinese Journal of Trauma

摘　　要：目的探讨胸腰椎骨折的手术人路选择及临床疗效。方法对1995年1月-2009年1月手术治疗并获得随访的212例胸腰椎骨折进行回顾性分析，观察脊柱结构及神经功能的恢复情况。结果前路手术73例，后路手术139例，平均随访23．7个月（12—52个月），手术后的伤椎椎体高度、Cobb角及椎管容积明显改善（P〈0．01），脊髓不完全性损伤患者神经功能均有1—3级恢复。结论手术治疗胸腰椎骨折可以有效改善脊柱结构，促进神经功能恢复；应根据骨折类型选择不同的手术入路。Objective To investigate the selection and curative effect of surgical approach for thoracolumbar fractures. . Methods A retrospective analysis was conducted on 212 patients with thora- columhar fractures treated surgically from January 1995 to January 2009 to observe the spinal column and the neurological function recovery. Results Anterior surgery was performed in 73 patients and posterior surgery in 139. The patients were followed up for average 23.7 months （range, 12-52 months）. The height of injury vertebral, the Cobb＇ s angle and the volume of vertebral canal were improved significantly （P 〈0.01 ）. The patients with incomplete paralysis all＇got nerve function recovery at different extents （ from one grade to three grades）. Conclusions Surgical treatment for thoracolumbar fractures can ef- fectively recover the spine structure and promote the nerve function recovery. The surgical approach should be selected based on the fracture type.

关 键 词：脊柱骨折 外科手术 选择性 治疗结果 

分 类 号：R687.3[医药卫生—骨科学]