[前外侧减压固定治疗胸腰椎骨折合并不完全截瘫的疗效]。

Wen-xiong Zhu, Xian-yin Liu, Zhong-jia He, Xin-fa Mo, Xue-ming Zhou, Jian-en Guo
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引用次数: 0

摘要

目的:探讨前外侧减压固定治疗胸腰椎骨折合并不完全截瘫的临床效果。方法:对36例胸腰椎骨折合并不完全截瘫患者行前外侧减压固定治疗。结果:患者平均随访18个月,椎间隙高度和胸腰椎曲度均恢复良好。平均Cobb角、椎管指数、Frankel均有明显改善,无钢板螺钉断裂、活动等并发症发生。结论:前外侧减压固定能直接、完全地减压椎管,促进脊神经功能恢复,重建脊柱对线,是治疗胸腰椎骨折伴明显椎管占位性病变或严重后凸伴不完全性截瘫的理想方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Therapeutic effects of anterolateral decompression and fixation on thoracolumbar fractures complicated with incomplete paraplegia].

Objective: To investigate the clinical effects of anterolateral decompression and fixation on thoracolumbar fractures complicated with incomplete paraplegia.

Methods: Thirty-six patients with thoracolumbar fractures complicated with incomplete paraplegia were treated with anterolateral decompression and fixation.

Results: The patients were followed up for an average of 18 months, which showed satisfactory recovery of the intervertebral space height and thoracolumbar vertebral curvature. The average Cobb's angle, spinal canal index and Frankel were improved remarkably, and none of the patients developed such complications as break or mobilization of the plate screw.

Conclusion: Anterolateral decompression and fixation can directly and completely decompress the vertebral canal, promote the functional recovery of the spinal nerves and reconstruct the alignment of the spine as an ideal approach for treatment of thoracolumbar fractures with obvious spinal canal-occupying lesions or severe kyphos complicated with incomplete paraplegia.

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