胸腰椎爆裂型骨折导致的周围韧带损伤  

Peripheral Ligament Injury Due to Thoracolumbar Burst Fracture

作　　者：高志宇 

机构地区：[1]内蒙古医科大学第二附属医院,脊柱外科中心,内蒙古 呼和浩特

出　　处：《临床医学进展》2024年第6期548-556,共9页Advances in Clinical Medicine

摘　　要：随着当今社会经济的迅速发展,特别是交通运输业、建筑业及户外旅游业的蓬勃发展,导致受伤并引发骨折的病患数量日益增多,其中脊柱骨折的患者占据了相当大的比例。脊柱骨折尤其容易发生在胸腰段,而这一区域的爆裂型骨折更可能导致较为严重的并发症。骨折发生时,椎体破损产生的骨折块极有可能损害其周围的软组织。脊柱周围的软组织对保持脊柱稳定性和辅助骨折块复位具有重要作用。然而,在临床实践中,当胸腰椎骨折尤其是爆裂型骨折发生时,关于其周围软组织损伤的诊断、生物力学分析,以及其损伤后治疗选择和手术方式选择的学术结论尚未统一。因此,在临床上,爆裂型骨折患者术后仍时有出现固定失效、断钉、断棒和节段后凸畸形等现象。With the rapid economic development of today’s society, especially the rapid development of today’s transportation industry, construction industry and outdoor tourism, more and more patients who are injured and lead to fractures also appear, of which patients with spinal fractures account for a large part, spinal fractures especially occur in the thoracolumbar segment, in which explosive fractures will lead to more serious complications. When a fracture occurs, the vertebral mass is destroyed, which is likely to damage the surrounding soft tissue. The soft tissue around the spine plays an important role in the stability of the spine and the reduction of the fracture mass. However, in the clinical thoracolumbar fracture, especially in the burst fracture, the diagnosis of soft tissue injury around the spine, the biomechanical analysis, the choice of post-injury treatment and the choice of surgical methods have not been unified. Therefore, in clinical practice, fixation failure, broken nails, broken rods and segmental kyphosis still occur in patients with burst fractures after surgery.

关 键 词：胸腰椎爆裂型骨折 后纵韧带 椎间盘 后纵韧带复合体 

分 类 号：R68[医药卫生—骨科学]