后路TSRH内固定及环脊髓减压治疗外伤性截瘫  

TSRH Fixation Systen and Posterior Transpedicular Decompression in Treatment of Thoracolumbar Burst Fracture

作　　者：郭开今[1] 李宏伟[1] 周冰[1] 郭含军[1] 葛保健[1] 龚维成[1] 

机构地区：[1]徐州医学院附属医院骨科,江苏徐州221002

出　　处：《实用骨科杂志》2001年第6期401-403,共3页Journal of Practical Orthopaedics

摘　　要：目的：评价ＴＳＲＨ内固定后环脊髓减压治疗外伤性截瘫的应用价值。方法：对１２例外伤性胸腰椎骨折合并截瘫行ＴＳＲＨ内固定后用“环钻”作椎管环行减压的治疗效果进行临床分析。结果：１２例病例经平均１８个月随访，全部病例椎体高度恢复良好，神经系统症状有不同程度改善。结论：ＴＳＲＨ内固定后行环脊髓减压既保证了脊柱的稳定性，有效的恢复了椎体的高度，同时，从后路解除了脊髓前方的压迫，简化了手术操作，为截瘫的恢复提供了有利的解剖学基础。Objective: To study and evaluate the application of TSRH fixation system and posterior transpedicular decompression in thoracolumbar burst fracture. Methods: 12 cases of thoracolumbar or lumbar burst fracture were treated with transpedicular decompression and TSRH fixation and observed correction of kyphosis,the recovery of nerve function and the height of the vertehra. All patients were evaluated with clinical sings, X-ray and CT before and after operation. Results:Of 12 cases,the height of compressed vertebral bodies was restored. They were followed up for an average of 18 months. The neurological deficit got a better recovery. Conclusion:TSRH fixation system and posterior transpedicular decompression can achieve anatomical reduction, decornpression of spinal cordeffectively through posterior approach. It is easy to operate and especially useful for the treatment of thoracolumbar burst frac- ture.

关 键 词：脊柱骨折 脊柱内固定 环脊髓减压 外伤性截瘫 手术入路 

分 类 号：R683.2[医药卫生—骨科学]