CAJ | 학술논문

目的观察治疗胸腰椎爆裂骨折采取后路侧前方减压短节固定手术治疗的临床疗效。方法观察我院2014年1月~2015年1月收治的胸腰椎爆裂骨折患者12例，采取的手术方式是经后路侧前方行椎体次全切。脊髓内减压、椎弓根螺钉固定。术后6~24个月内对患者进行随访，复查患者的X线及CT扫描片用来判定和评估骨折复位、减压及融合情况。结果所有患者在术后均未出现神经症状加重或出现新的神经症状，所以患者均未出现其他的手术并发症。结论后路侧前方减压短节段固定在中重度的胸腰椎爆裂性骨折治疗方面具有安全性高、创伤小、减压彻底等优势，值得在临床上推广使用。
목적관찰치료흉요추폭렬골절채취후로측전방감압단절고정수술치료적림상료효。방법관찰아원2014년1월~2015년1월수치적흉요추폭렬골절환자12례，채취적수술방식시경후로측전방행추체차전절。척수내감압、추궁근라정고정。술후6~24개월내대환자진행수방，복사환자적X선급CT소묘편용래판정화평고골절복위、감압급융합정황。결과소유환자재술후균미출현신경증상가중혹출현신적신경증상，소이환자균미출현기타적수술병발증。결론후로측전방감압단절단고정재중중도적흉요추폭렬성골절치료방면구유안전성고、창상소、감압철저등우세，치득재림상상추엄사용。
Objective To observe the treatment of thoracolumbar burst fracture take front side outline after decompression nipple fixed the clinical curative ef ect of surgical treatment. Methods To observe the hospital between January 2014 and January 2015 at the records of 12 patients with thoracolumbar burst fracture between, adopt the operation method is by the roadside in front line of vertebral body. In the spinal cord decompression, pedicle screw fixation. 6 to 24 months of fol ow-up, in patients with postoperative patients with review of X-ray and CT scans are used to determine and evaluate fracture reduction, decompression and fusion. Results Al patients has not been in postoperative neurological symptoms worsen or new nerve symptoms, so no other complications occur ed. Conclusion Lateral files after decompression ahead short segmental fixation in thoracolumbar burst fracture treatment of moderately severe has high security, smal trauma, the advantages of the decompression thoroughly, is worth popularizing in clinical use.