上胸椎骨折脱位的手术治疗进展  

Progress in the Upper Thoracic Vertebrae Fracture Dislocation Surgery

作　　者：韦寿繁[1] 黄明棣[1] 

机构地区：[1]河池市人民医院骨科,广西河池547000

出　　处：《医学综述》2013年第24期4487-4490,共4页Medical Recapitulate

摘　　要：上胸椎是指第1胸椎至第4胸椎（T1~4）,该段胸椎椎管相对较小,外伤性骨折脱位容易造成脊髓压迫,引起严重的临床症状,常需手术治疗。手术入路主要以前路手术、后路手术为主,但因其周围解剖结构复杂,手术显露困难。近年来随着计算机导航系统和生物力学研究的进展,对上胸椎骨折脱位的认识也不断深入,在其手术质量方面临床上出现了一些新理论及新技术。该文将对近年来上胸椎骨折脱位手术治疗的进展进行综述,旨在为上胸椎骨折脱位的治疗提供依据。Upper thoracic refers to the first to fourth thoracic veterbrae（ T 1-4）,the spinal canal of which is relatively small,that traumatic fracture dislocation may cause the spinal cord compression easily and induce severe clinical symptoms,calling the need for surgery. Surgery approach includes anterior and posterior approach,but due to the complicated surrounding anatomical structure,the exposure is difficult. In recent years,with the progress of computer navigation systems and biomechanical research,the knowledge of thoracic vertebra fracture dislocation has been deepening as well,and some new theories and technologies in terms of the surgery quality have appeared. Here is to make a review of the progress of thoracic vertebra fracture dislocation surgery,to provide references for the treatment.

关 键 词：上胸椎 骨折脱位 手术 

分 类 号：R687.3[医药卫生—骨科学]