侧前方入路减压、椎体间支撑植骨治疗胸腰椎爆散性骨折  

Ventrolateral spine decompression and interbody strut grafting for surgical treatment of thoracolumbar burst fracture

作　　者：廖兴华[1] 肖刚[1] 陈劲[1] 杨松华[1] 游剑明[1] 罗玉深[1] 

机构地区：[1]广东医学院附属湛江中心人民医院,广东湛江524037

出　　处：《海南医学》2004年第7期53-54,52,共3页Hainan Medical Journal

摘　　要：目的　探讨胸腰段椎体爆散性骨折的手术治疗方法及疗效分析。方法　 1996年 3月 -2 0 0 2年 3月 ,对16例胸腰段椎体爆散性骨折病人进行了手术治疗 ,采用侧前方入路行伤椎部分切除减压 ,支撑植骨 ,其中 12例配合内固定。结果　随访 9个月至 6年半 ,平均 2 8个月 ,椎体后凸畸形恢复满意 ,植骨均获骨性融合 ,植骨界面消失 ,神经功能恢复按Frankel分级平均改善 1.4级。结论　胸腰椎爆散性骨折行侧前方入路具有减压直接、彻底 ,支撑式植骨强度大 ,便于安装内固定 ,有效恢复椎体序列 ,融合率高 。Objective To investigate the methods and the clinical efficacy of surgical treatments for thoracolumbar burst fractures.Methods From March, 1996 to march,2003,16patients with thoracolumbar burst fracture were performed an operation of ventrolateral spine decompressions and interbody autogenous strut grafting, with internal fixation application in 12 patients.Results After operation, all patients were followed-up for 9 months to 6 years and 6 months(average, 28months),well-correcting of spinal kyphosis deformity and solid fusion with complete absence of graft demarcation were achieved, and no significant ineffevtiveness of internal fixation was observed. The neurological function of injuried spinal cord improved postoperatively with an average 1.4 grades(range, 1 to 3 grades) by the Frankel grading scale system.Conclusions For treating thoracolumbar burst fractures,the ventrolateral decompression and strut grafting with applications of internal fixation has many advantages,which include visualizedly direct and thorough decompression on spinal cord, a robust supporting force of strut graft accompanying a convenient internal fixation iustructmentation, a high fusion rate, a well-restoring of spinal alignment and a satisfactory restoration of neurological function.

关 键 词：侧前方减压 支撑植骨 胸腰段 爆散骨折 

分 类 号：R683.2[医药卫生—骨科学]