The Treatment of Thoracolumbar Vertebral Fracture with Posterolateral Decompression and Fusion_West China Medical Journal

Authors：

ZHAO Chenyang , LAN Yuping , ZHONG Fenglin , et al

The Central Hospital of Pan Zhi Hua,Sichuan 617067,China;

Corresponding author：

Keywords：

侧后方; 减压融合; 胸腰椎骨折

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目的:讨论侧后方减压融合术治疗胸腰椎骨折的优缺点及临床应用。方法:对12例胸腰椎骨折采用侧后方减压植骨融合术,经一个手术入路完成减压及脊椎的稳定重建。结果:12例病例随访13～36个月,术后无一例神经症状加重;6例术后原有神经症状明显改善,2例2个月后神经症状开始恢复,3例无改善;12例均获得骨性融合。结论:侧后方减压融合术是治疗胸腰椎骨折的较好方法。但其技术要求高,视野显露有限,操作范围较窄,易出血增加了手术难度。

Citation： ZHAO Chenyang,LAN Yuping,ZHONG Fenglin,et al. The Treatment of Thoracolumbar Vertebral Fracture with Posterolateral Decompression and Fusion. West China Medical Journal, 2009, 24(3): 608-609. doi: Copy

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1. 党耕町主译.脊柱外科技术[J].第一版.北京:人民卫生出版社,2004(12):282..
2. 钟志刚,邱雪立,胡奕山,等.胸腰椎骨折伴脊髓损伤手术方式选择[J].中国矫形外科杂志,2001,(8):137-140..
3. 成茂华,郑祖根,张彩元,等.胸腰段骨折椎管内骨折块与脊髓损伤的关系[J].中国脊柱脊髓杂志,2001,11(5):275-277..
4. 郝勇,周跃,任先军,等.严重胸腰椎骨折并椎间盘损伤的手术治疗[J].骨与关节损伤杂志,2003,18(1):14-17..
5. 王洪伟,欧阳甲,盛伟斌.AF内固定与术中脊髓造影治疗胸腰椎骨折脱位的临床意义[J].骨与关节损伤杂志,2000,15(4):253..
6. MCEVOY RD,BRADFORD DS.The management of burst fractures of the thoracic and lumbar spine:experience in 53 patints[J].Spine,1985,10:631-637..

West China Medical Journal

The Treatment of Thoracolumbar Vertebral Fracture with Posterolateral Decompression and Fusion

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